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

Midwest Mobile Dentistry LLC

Organization Dental Clinic/Center · NPI 1417477985

Midwest Mobile Dentistry LLC is a Dental Clinic/Center in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2017.

Licensed in
MO
In the registry since
2017
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

1 N Brentwood Blvd Ste 1000
Saint Louis, MO 63105-3937
Phone: (225) 287-8765
Fax: (615) 225-8915
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X (MO)

Record details

NPI number1417477985
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Graham — Owner/Ceo · (225) 287-8765
NPI enumeratedJune 26, 2017
Last updated in NPPESJuly 21, 2022
Mailing address1 North Brentwood Boulevard, Suite 1000, St Louis, MO 63105

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