ST. LOUIS COUNTY DENTAL PARTNERSHIP, TIMOTHY M GRAYEM DDS & ASSOCIATES (NPI# 1447703590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447703590 |
| Entity Type | Organization |
| Organization Name | ST. LOUIS COUNTY DENTAL PARTNERSHIP, TIMOTHY M GRAYEM DDS & ASSOCIATES |
| Practice Address |
469 S Kirkwood Rd Kirkwood MO 63122-6119 |
| Practice Telephone | 3149656503 |
| Practice Fax Number | 3149657417 |
| Mailing Telephone | 3149656503 |
| Mailing Fax Number | 3149657417 |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |
| Authorized Official Name | JANICE E PELLEY (PRACTICE MANAGER) |
| Authorized Official Telephone | 3149656503 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2002013144 | MO | Dental Providers |
| Street Address |
469 S KIRKWOOD RD |
| City | KIRKWOOD |
| State | MO |
| Zip Code | 63122-6119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033127261 | Timothy Grayem | Dentist | 469 S Kirkwood Rd, Kirkwood, MO 63122-6119 | 2006-08-03 |
| 1013112234 | Barry D Brace, Dmd & Associates, PC | Dentist | 469 S Kirkwood Rd, Kirkwood, MO 63122-6119 | 2007-06-18 |
| 1891902656 | Daniel Bialecki | Dentist | 469 S Kirkwood Rd, Kirkwood, MO 63122-6119 | 2007-05-17 |
| 1619031788 | Christine F Lathuras | Dentist | 469 S Kirkwood Rd, Kirkwood, MO 63122-6119 | 2006-12-21 |
| 1073521225 | Barry D Brace | Dentist | 469 S Kirkwood Rd, Kirkwood, MO 63122-6119 | 2006-08-04 |
| 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 |
| 1396016200 | Sensible Dental - Kirkwood | Dentist | 1202 S. Kirkwood Road, Kirkwood, MO 63122 | 2012-01-24 |
| 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 |
| 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.