Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Freida Carole Grimes-Moore, DDS

Individual provider Dentist · NPI 1114012200

Dr. Freida Carole Grimes-Moore, DDS is a Dentist in Saint Louis, Missouri. Licensed in Missouri and Tennessee. Registered with an NPI since 2006.

Licensed in
MO, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

614 S Florissant Rd
Saint Louis, MO 63135-2948
Phone: (901) 864-1990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2018001854 (MO)
Dentist Taxonomy 122300000X · Licence DS3040 (TN)

Record details

NPI number1114012200
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing address614 S Florissant Rd, Saint Louis, MO 63135-2948

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