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

Gateway Oral and Maxillofacial Surgeons of St Louis, PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1184892028

Gateway Oral and Maxillofacial Surgeons of St Louis, PC is an Oral and Maxillofacial Surgery (Dentist) in Clayton, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

165 N Meramec Ave Ste 300
Clayton, MO 63105-3772
Phone: (314) 726-2755
Fax: (314) 726-9538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 12435 (MO)

Record details

NPI number1184892028
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daun Brandt — Business Manager · (314) 726-2755
Other names Travis & Nolen Oral & Maxillofacial Surgery, P.C.
NPI enumeratedFebruary 13, 2008
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023
Mailing address165 N. Meramec Ave, Suite 300, Clayton, MO 63105-3772

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