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

Carrollwood Dental Group LLC

Organization General Practice Dentistry · NPI 1821216060

Carrollwood Dental Group LLC is a General Practice Dentistry in Bridgeton, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
3
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

12147 Natural Bridge Rd
Bridgeton, MO 63044-2018
Phone: (314) 739-3700
Fax: (314) 739-5048
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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 2003012113 (MO)
General Practice Dentistry Taxonomy 1223G0001X · Licence 14202 (MO)
General Practice Dentistry Taxonomy 1223G0001X · Licence 013326 (MO)

Record details

NPI number1821216060
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Clark — Owner · (314) 739-3700
NPI enumeratedApril 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address12147 Natural Bridge Rd, Bridgeton, MO 63044-2018

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