Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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St Louis Childrens General Anesthesia Dentistry, LLC

Organization Dentist · NPI 1770426215

St Louis Childrens General Anesthesia Dentistry, LLC is a Dentist 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

Dentist (primary) Taxonomy 122300000X
General Practice Dentistry Taxonomy 1223G0001X
Pediatric Dentistry Taxonomy 1223P0221X

Record details

NPI number1770426215
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Antle — 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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