Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PAUL DOUGLAS EDGERLEY, D.D.S., MDS
Active Sole ProprietorDR. PAUL DOUGLAS EDGERLEY, D.D.S., MDS is a Pediatric Dentistry healthcare provider located in CHESTERFIELD, Missouri. NPI 1588072391 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · CHESTERFIELD, MO
Registration Details
- NPI Number
- 1588072391
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2014 (12.068172678424 yrs)
- Last Updated
- Jan 30, 2024
- Licenses
-
2015014360 (MO)2015014360 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14377 WOODLAKE DR STE 206CHESTERFIELD, MO, 630175735Browse MO providers · Browse ZIP 63017
- Phone
- 3148788880
- Fax
- 3146589940
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- Dentist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.