Provide Dental
Provide Dental is a Dental Clinic/Center in Saint Louis, Missouri. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2211 Olive St Ste 100Saint Louis, MO 63103-1502
Phone: (314) 776-7100
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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 |
|---|
Record details
| NPI number | 1760253694 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Philip Son — Owner/ General Dentist · (323) 787-9397 |
| NPI enumerated | January 10, 2024 |
| Last updated in NPPES | January 10, 2024 |
| Certification date | January 10, 2024 |
| Mailing address | 2309 Barrett Place Ct, Ballwin, MO 63021-7829 |
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