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

Dr. Kevin Moreno, DDS

Individual provider Dentist · NPI 1477390789

Dr. Kevin Moreno, DDS is a Dentist in Ballwin, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024
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.

See every abbreviation used in this directory →

Practice location Address checks out

15208 Manchester Rd
Ballwin, MO 63011-4601
Phone: (636) 238-3197
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2024027871 (MO)

Record details

NPI number1477390789
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 12, 2024
Last updated in NPPESJuly 12, 2024
Certification dateMay 31, 2024
Mailing address16336 Lakeview Cir, Chesterfield, MO 63017-4710

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