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

Provide Dental

Organization Dental Clinic/Center · NPI 1124990601

Provide Dental is a Dental Clinic/Center in Chesterfield, Missouri. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

13371 Olive Blvd # 3108
Chesterfield, MO 63017-3108
Phone: (314) 878-5544
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1124990601
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvide Dental
Authorized official Philip Son — Dentist · (323) 787-9397
Other names Provide Dental- Chesterfield
NPI enumeratedSeptember 23, 2025
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing address13371 Olive Blvd # 3108, Chesterfield, MO 63017-3108

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