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

Isaac Coronel

Individual provider Public Health Dentistry · NPI 1609550912

Isaac Coronel is a Public Health Dentistry in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2023
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Practice location Address checks out

1500 Park Ave
Saint Louis, MO 63104-3024
Phone: (314) 814-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health Dentistry (primary) Taxonomy 1223D0001X · Licence 123 (MO)

Record details

NPI number1609550912
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 15, 2023
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023
Mailing address6018 Arthur Ave, Saint Louis, MO 63139-1915

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