Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

16111 Manchester Road, LLC

Organization General Practice Dentistry · NPI 1013386598

16111 Manchester Road, LLC is a General Practice Dentistry in Ellisville, Missouri. Licensed in Missouri. Registered with an NPI since 2015.

Licensed in
MO
In the registry since
2015
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

428 Old State Rd
Ellisville, MO 63021
Phone: (636) 391-6030
Fax: (636) 527-8386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2000169958 (MO)
General Practice Dentistry Taxonomy 1223G0001X · Licence 2000165488 (MO)

Record details

NPI number1013386598
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Zieba — Dentist/Owner · (636) 391-6030
Other names Zieba Family Dentistry
NPI enumeratedSeptember 15, 2015
Last updated in NPPESSeptember 15, 2015
Mailing address428 Old State Rd., Ellisville, MO 63021

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