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

Fenton Family Practice, LLC

Organization Specialist · NPI 1356493811

Fenton Family Practice, LLC is a Specialist in Fenton, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
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

1747 Smizer Station Rd Ste 5
Fenton, MO 63026-2784
Phone: (636) 529-7000
Fax: (636) 529-7003
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 115447 (MO)

Record details

NPI number1356493811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brenda Buckley — Doctor · (636) 529-7000
NPI enumeratedJanuary 17, 2007
Last updated in NPPESSeptember 19, 2013
Mailing address1747 Smizer Station Rd, Suite 5, Fenton, MO 63026-2784

Other providers in Fenton