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

St Louis Childrens General Anesthesia Dentistry, LLC

Organization Anesthesiology Physician · NPI 1417890963

St Louis Childrens General Anesthesia Dentistry, LLC is an Anesthesiology Physician in Saint Louis, Missouri. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
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

12101 Woodcrest Executive Dr Ste 101
Saint Louis, MO 63141-5047
Phone: (301) 494-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Pediatric Anesthesiology Physician Taxonomy 207LP3000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1417890963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Wheeler — Ceo · (301) 494-3000
NPI enumeratedApril 10, 2026
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address12101 Woodcrest Executive Dr Ste 101, Saint Louis, MO 63141-5047

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