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

Missouri Center for Oral Surgery and Implants LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1801508379

Missouri Center for Oral Surgery and Implants LLC is an Oral and Maxillofacial Surgery (Dentist) in Saint Peters, Missouri. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
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 Mid Rivers Mall Dr Ste 310
Saint Peters, MO 63376-4323
Phone: (636) 928-7217
Fax: (636) 397-0223
Show map & directions

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

Additional practice locations (1)

  • 853 Medical Dr Ste 115, Wentzville, MO 63385-3825 — (368) 873-1006

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1801508379
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKelsey Smith, DDS, MD, PC
Authorized official Kelsey Smith — Partner · (314) 956-5651
Other names First Capitol Oral And Maxillofacial Surgery; Oral And Maxillofacial Surgery At The Crossing; Kenneth Clark Priddy, Dds, Md, Pc
NPI enumeratedDecember 15, 2022
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022
Mailing address1 Mid Rivers Mall Dr Ste 310, Saint Peters, MO 63376-4323

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