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

Premier Dermatology LLC

Organization Specialist · NPI 1699169086

Premier Dermatology LLC is a Specialist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2015.

Licensed in
MO
In the registry since
2015
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

456 N New Ballas Rd Ste 118
Saint Louis, MO 63141-6831
Phone: (314) 567-1400
Fax: (314) 567-9559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (MO)

Record details

NPI number1699169086
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Reed — Owner · (314) 567-1400
NPI enumeratedMarch 24, 2015
Last updated in NPPESMarch 24, 2015
Mailing address456 N New Ballas Rd, Suite 118, Saint Louis, MO 63141-6831

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