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

Pld of South City PC

Organization General Practice Dentistry · NPI 1871479758

Pld of South City PC is a General Practice Dentistry in Saint Louis, Missouri. Registered with an NPI since 2025.

In the registry since
2025
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

3859 Gravois Ave
Saint Louis, MO 63116-4657
Phone: (314) 382-2000
Fax: (314) 382-2411
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1871479758
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Travis — Owner · (314) 635-0822
Other names Pine Lawn Dental
NPI enumeratedAugust 14, 2025
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing address3708 Jennings Station Rd, Saint Louis, MO 63121-3500

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