HERBST DMD LLC (NPI# 1528572435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528572435 |
| Entity Type | Organization |
| Organization Name | HERBST DMD LLC |
| Practice Address |
12221 Saint Charles Rock Rd Bridgeton MO 63044-2502 |
| Mailing Address |
Po Box 3189 Syracuse NY 13220-3189 |
| Practice Telephone | 3146566615 |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |
| Authorized Official Name | CHRISTOPHER HERBST (OWNER) |
| Authorized Official Telephone | 3146566615 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
12221 SAINT CHARLES ROCK RD |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134649312 | Steven Jamaal Keglar | Dentist | 12221 Saint Charles Rock Rd, Bridgeton, MO 63044-2502 | 2017-06-20 |
| 1356965289 | Espir J Abaji | Dentist | 12221 Saint Charles Rock Rd, Bridgeton, MO 63044-2502 | 2020-06-06 |
| 1073175790 | Tuan Thai | Dentist | 12221 Saint Charles Rock Rd, Bridgeton, MO 63044-2502 | 2019-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| 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 |
|---|---|---|---|---|
| 1336270495 | John Mcglynn | Dentist | 1117 Highway 77 Ste B, Bridgeton, NJ 08302-3650 | 2007-03-08 |
| 1477683266 | James T Moore | Dentist | 11520 Saint Charles Rock Rd, Suite 205, Bridgeton, MO 63044-2732 | 2007-03-07 |
| 1134265879 | Robert B Bookman | Dentist | 233 Laurel Heights Dr, Bridgeton, NJ 08302-3635 | 2007-01-29 |
| 1114022803 | Steven L Rasner | Dentist | 1055 N Pearl St, Bridgeton, NJ 08302-1211 | 2006-09-14 |
| 1477580413 | Samuel Watts Feinstein | Dentist | 15 Franklin St, Bridgeton, NJ 08302-1809 | 2006-06-26 |
| 1780675132 | Aronda R Jones | Dentist | 11726 St Charles Rock Road, Suite L, Bridgeton, MO 63044 | 2005-11-03 |
| 1124015375 | Christopher F Dowling | Dentist | 12758 Boenker Ln, Bridgeton, MO 63044-2436 | 2005-10-03 |
| 1073175790 | Tuan Thai | Dentist | 12221 Saint Charles Rock Rd, Bridgeton, MO 63044-2502 | 2019-07-02 |
| 1306322086 | Mariana C Elwell Dds Fagd PC | Dentist | 6 Atlantic St, Bridgeton, NJ 08302-1829 | 2018-07-16 |
| 1649693144 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 12758 Boenker Ln, Bridgeton, MO 63044-2436 | 2014-02-04 |
| Find all providers in BRIDGETON | ||||
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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.