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

Regional Dermatology, LLC

Organization Dermatology Physician · NPI 1396064879

Regional Dermatology, LLC is a Dermatology Physician in Festus, Missouri. Licensed in Missouri. Registered with an NPI since 2010.

Licensed in
MO
In the registry since
2010
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

1463 Highway 61 Ste B
Festus, MO 63028-4109
Phone: (636) 933-7600
Fax: (636) 933-5900
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2006031051 (MO)

Record details

NPI number1396064879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Jensen — Owner · (636) 933-7600
NPI enumeratedMay 24, 2010
Last updated in NPPESMay 24, 2010
Mailing address1463 Highway 61, Suite B, Festus, MO 63028-4109

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