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

Oleg Prokopenko

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1841797545

Oleg Prokopenko is a Student in an Organized Health Care Education/Training Program in Saint Louis, Missouri. Works from 4 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

621 S New Ballas Rd Ste 16A
Saint Louis, MO 63141-8239
Phone: (314) 251-6725
Fax: (314) 251-6726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1611 Nw 12th Ave, Miami, FL 33136-1096 — (305) 585-5326
  • 22 S Greene St, Baltimore, MD 21201-1590 — (410) 328-5566
  • 475 Seaview Ave, Staten Island, NY 10305-3436 — (718) 226-9877

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 2024020971 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1841797545
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2018
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024

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