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LESTER C JOERN JR DDS PC NPI 1720075005


NPI Information

NPI: 1720075005
Provider Name: LESTER C JOERN, JR, DDS, PC

Doing Business As: SOUTH ST. LOUIS DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6451 CHIPPEWA ST
SUITE A
SAINT LOUIS, MO
ZIP 63109
Phone: (314) 752-7468
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LESTER C JOERN, JR, DDS, PC is a general practice dentist in Saint Louis, MO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LESTER C JOERN, JR, DDS, PC NPI is 1720075005. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As South St. Louis Dental Group.

The provider's business location address is:

6451 CHIPPEWA ST
SUITE A
SAINT LOUIS, MO
ZIP 63109-104
Phone: (314) 752-7468
Fax: (314) 752-5168

The provider's authorized official is Lester C Joern .
The authorized official title is President and has the following contact phone number (314) 752-7468.

The enumeration date for this NPI number is 10/3/2005 and was last updated on 8/22/2020.


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
11223G0001XDentistGeneral Practice12510MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1519832OTHERMISSOURIWITH UNITED CONCORDIA
2CBAR1OTHERMISSOURIBCBS - ARKANSAS
3014487OTHERMISSOURIAETNA DMO
415138OTHERMISSOURIBCBS - MO
5V12510OTHERMISSOURIBCBS - TEXAS
6103333OTHERMISSOURICIGNA DHMO

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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