SENSIBLE DENTAL - KIRKWOOD (NPI# 1396016200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396016200 |
| Entity Type | Organization |
| Organization Name | SENSIBLE DENTAL - KIRKWOOD |
| Other Organization Name | SENSIBLE DENTAL |
| Practice Address |
1202 S. Kirkwood Road Kirkwood MO 63122 |
| Mailing Address |
4451 Bluebonnet Blvd. Ste. F Baton Rouge LA 70809 |
| Practice Telephone | 2252915272 |
| Mailing Telephone | 2257672273 |
| Mailing Fax Number | 2257693395 |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |
| Authorized Official Name | ANDRE BRUNI (OWNER) |
| Authorized Official Telephone | 2257672273 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2011040263 | MO | Dental Providers |
| Other Name | Type Code |
|---|---|
| Sensible Dental | Doing Business As Name - Organization |
| Street Address |
1202 S. KIRKWOOD ROAD |
| City | KIRKWOOD |
| State | MO |
| Zip Code | 63122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1255599718 | Jeffrey David Reuter | Dentist | 10316 Manchester Rd, Kirkwood, MO 63122-1521 | 2008-05-30 |
| 1710025861 | Howard Jay Warner | Dentist | 44 Frances St, Kirkwood, NY 13795-1025 | 2007-02-01 |
| 1962561415 | Terrence William Bond | Dentist | 123 W Clinton Pl, Kirkwood, MO 63122-5857 | 2006-12-08 |
| 1972683613 | Dathu Thi Doan | Dentist | 103 N Taylor, Kirkwood, MO 63122 | 2006-10-17 |
| 1689769697 | Eric J Dankoski | Dentist | 11001 Manchester Rd, Kirkwood, MO 63122-1243 | 2006-10-04 |
| 1003822404 | Craig J. Plahn | Dentist | 132 W Washington Ave, Suite 105, Kirkwood, MO 63122-3978 | 2006-07-31 |
| 1437152444 | Edward Tate | Dentist | 333 S Kirkwood Rd, Ste 105, Kirkwood, MO 63122-6161 | 2005-05-23 |
| 1447703590 | St. Louis County Dental Partnership, Timothy M Grayem Dds & Associates | Dentist | 469 S Kirkwood Rd, Kirkwood, MO 63122-6119 | 2016-07-25 |
| Find all providers in KIRKWOOD | ||||
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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.