DR. GARY ALAN PADBERG (NPI# 1366573859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366573859 |
| Entity Type | Individual |
| Full Name | DR. GARY ALAN PADBERG |
| Credential | DDS |
| Practice Address |
8077 Watson Rd Suite 150 St Louis MO 63119-5323 |
| Mailing Address |
5781 Karmar Drive St Louis MO 63128-4431 |
| Practice Telephone | 3149614340 |
| Practice Fax Number | 3149613323 |
| Mailing Telephone | 3144874437 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12731 | MO | Dental Providers |
| Street Address |
8077 WATSON RD SUITE 150 |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63119-5323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
| 1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
| 1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
| Find all providers in zip 63119 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417114554 | Thomas C Ryzicka | Dentist | 2820 Lemay Ferry, St Louis, MO 63125 | 2008-05-16 |
| 1760502033 | Valerie Paris O Bannon | Dentist | 665 S Skinker, St Louis, MO 63105-2300 | 2007-03-30 |
| 1588782742 | Richard W Danyluck | Dentist | 3940 S Broadway, St Louis, MO 63118-4626 | 2007-03-27 |
| 1265576904 | Gerda Monika Thalheimer | Dentist | 11627 Gravois Rd, St Louis, MO 63126 | 2007-02-16 |
| 1366588501 | Ervin Simmons Iv | Dentist | 12528 Lusher Rd, St Louis, MO 63138 | 2007-01-29 |
| 1659417582 | Brett Irvin | Dentist | 1511 East Broadway, St Louis, IL 62201 | 2007-01-29 |
| 1285783563 | Mary Heil Grimm | Dentist | 9785 Mackenzie, Suite 106, St Louis, MO 63123 | 2007-01-09 |
| 1992853527 | David T Cappetta | Dentist | 1034 So Brentwood Blvd, University Club Tower Bld, St Louis, MO 63117 | 2007-01-08 |
| 1659436673 | Ronald King Greif | Dentist | 4442 Telegraph Rd, St Louis, MO 63129-3316 | 2006-12-27 |
| 1235294257 | Samir Edward Ruvinov | Dentist | 4442 Telegraph Road, St Louis, MO 63129 | 2006-12-27 |
| Find all providers in ST LOUIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.