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Dentist · Creve Coeur, MO

Call (314) 824-0701 Directions

At a glance

11770 Olive Blvd, Creve Coeur, MO 63141-7053

NPPES record updated Jan 27, 2019. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

11770 Olive Blvd
Creve Coeur, MO 63141-7053
Professional details: NPI, taxonomy & registry record
NPI1063944569
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Registry details

Primary taxonomy
Dentist
Taxonomy code
122300000X
Enumeration date
Apr 3, 2017
Record updated
Jan 27, 2019
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Dentist

122300000X · Primary

License reported: 014056 MO

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

11770 Olive Blvd
Creve Coeur, MO 63141-7053
Phone
(314) 824-0701
Mailing address
11770 OLIVE BLVD

CREVE COEUR, MO 631417053
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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