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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARROLLWOOD DENTAL GROUP LLC

Active Organization

CARROLLWOOD DENTAL GROUP LLC is a General Dentistry organization located in BRIDGETON, Missouri. NPI 1821216060 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BRIDGETON, MO

Registration Details

NPI Number
1821216060
Provider Type
Organization
NPI Issued
Apr 23, 2007 (19.321388032917 yrs)
Last Updated
Aug 22, 2020
Licenses
14202 (MO)
013326 (MO)
2003012113 (MO)

Practice Information

Address
12147 NATURAL BRIDGE RD
BRIDGETON, MO, 630442018
Browse MO providers · Browse ZIP 63044
Phone
3147393700
Fax
3147395048
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.