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

Westport Periodontics PC

Organization Periodontics · NPI 1902953391

Westport Periodontics PC is a Periodontics in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

77 Westport Plz Ste 367
Saint Louis, MO 63146-3107
Phone: (314) 434-4676
Fax: (314) 434-6806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X (MO)

Record details

NPI number1902953391
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Kyd — President · (314) 434-4676
NPI enumeratedJanuary 5, 2007
Last updated in NPPESAugust 22, 2020
Mailing address77 Westport Plz, Suite 367, Saint Louis, MO 63146-3107

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