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EDGERLEY DENTAL LLC NPI 1598357923


NPI Information

NPI: 1598357923
Provider Name: EDGERLEY DENTAL LLC

Doing Business As: CHESTERFIELD WOODLAKE DENTAL AND PROSTHODONTICS

Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
14377 WOODLAKE DR STE 206
CHESTERFIELD, MO
ZIP 63017
Phone: (314) 878-8880
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EDGERLEY DENTAL LLC is a prosthodontics dentist in Chesterfield, MO. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. EDGERLEY DENTAL LLC NPI is 1598357923. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Chesterfield Woodlake Dental And Prosthodontics.

The provider's business location address is:

14377 WOODLAKE DR STE 206
CHESTERFIELD, MO
ZIP 63017-735
Phone: (314) 878-8880
Fax: (314) 658-9940

The provider's authorized official is Paul Douglas Edgerley .
The authorized official title is Prosthodontist/dentist and has the following contact phone number (314) 878-8880.

The enumeration date for this NPI number is 2/8/2021 and was last updated on 1/30/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistNo
21223P0700XDentistProsthodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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