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

Organization Periodontics · NPI 1154576890

McLeod Periodontics is a Periodontics in Hazelwood, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
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Practice location Address checks out

5992 Howdershell Rd Ste 204
Hazelwood, MO 63042-4107
Phone: (314) 731-1700
Fax: (314) 731-1784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 015787 (MO)

Record details

NPI number1154576890
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMcLeod Periodontics
Authorized official Dwight McLeod — Owner · (314) 731-1700
NPI enumeratedNovember 21, 2008
Last updated in NPPESNovember 21, 2008
Mailing address5992 Howdershell Rd., Suite 204, Hazelwood, 63042