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

Mystldentist LLC

Organization Dental Clinic/Center · NPI 1972039501

Mystldentist 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

4590 S Lindbergh Blvd
Saint Louis, MO 63127-1832
Phone: (314) 842-0440
Fax: (314) 849-5847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 013578 (MO)

Record details

NPI number1972039501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Uthoff — Sole Memeber · (314) 842-0440
NPI enumeratedMay 2, 2017
Last updated in NPPESMay 2, 2017
Mailing address4590 S Lindbergh Blvd, Saint Louis, MO 63127-1832

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