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DAVID GUILBEAULT DMD MID RIVERS DENTAL GROUP NPI 1801139803


NPI Information

NPI: 1801139803
Provider Name: DAVID GUILBEAULT DMD MID RIVERS DENTAL GROUP

Doing Business As: MID RIVERS DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
300 MID RIVERS MALL DR
SAINT PETERS, MO
ZIP 63376
Phone: (636) 937-5883
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DAVID GUILBEAULT DMD MID RIVERS DENTAL GROUP is a general practice dentist in Saint Peters, 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. DAVID GUILBEAULT DMD MID RIVERS DENTAL GROUP NPI is 1801139803. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mid Rivers Dental Group.

The provider's business location address is:

300 MID RIVERS MALL DR
SAINT PETERS, MO
ZIP 63376-565
Phone: (636) 937-5883

The provider's authorized official is David Guilbeault .
The authorized official title is Owner/dentist and has the following contact phone number (618) 692-1110.

The enumeration date for this NPI number is 3/28/2013 and was last updated on 11/5/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice2000174030MISSOURIYes

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: 5/5/2024

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