ST.LOUIS CENTER FOR AESTHETIC AND RESTOR. DENTISTRY/LINDBERGH SMILE (NPI# 1568939593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568939593 |
| Entity Type | Organization |
| Organization Name | ST.LOUIS CENTER FOR AESTHETIC AND RESTOR. DENTISTRY/LINDBERGH SMILE |
| Practice Address |
7934 N Lindbergh Blvd Hazelwood MO 63042-3521 |
| Mailing Address |
1422 Elbridge Payne Rd Ste 240 Chesterfield MO 63017-8544 |
| Practice Telephone | 3148318086 |
| Mailing Telephone | 3147538154 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |
| Authorized Official Name | RAY WEBER (SUPPORT SPECIALIST) |
| Authorized Official Telephone | 3147538154 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOH OF MISSOURI SAMSON LIU PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
7934 N LINDBERGH BLVD |
| City | HAZELWOOD |
| State | MO |
| Zip Code | 63042-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536849 | Daniel P Walsh | Optometrist | 7934 N Lindbergh Blvd, Suite A, Hazelwood, MO 63042-3521 | 2005-05-27 |
| 1851444517 | Surevision Eye Centers Midwest LLC | Durable Medical Equipment & Medical Supplies | 7934 N Lindbergh Blvd, Ste A, Hazelwood, MO 63042-3521 | 2007-01-18 |
| 1699857912 | Surevision Eye Centers Midwest LLC | Optometrist | 7934 N Lindbergh Blvd, Suite A, Hazelwood, MO 63042-3521 | 2006-10-19 |
| 1740382985 | Guilan Norouzi | Dentist | 7934 N Lindbergh Blvd, Hazelwood, MO 63042 | 2006-09-01 |
| 1831109149 | Roderick Sampson Cooper | Dentist | 7934 N Lindbergh Blvd, Hazelwood, MO 63042-3521 | 2006-08-09 |
| 1396748000 | Lawrence A Gans | Ophthalmology | 7934 N Lindbergh Blvd, Suite A, Hazelwood, MO 63042-3521 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101147 | Infusion Health Care, LLC | Home Health | 7220 N Linbergh, Suite 355, Hazelwood, MO 63042 | 2020-07-22 |
| 1558993014 | Humble Helpers Home Care, LLC | Home Health | 7220 N Linbergh Blvd, Suite 240, Hazlewood, MO 63042 | 2020-02-12 |
| 1417462391 | Community Care | Registered Nurse | 7220 N. Lindbergh Ste 310, Hazelwood, MO 63042 | 2017-12-13 |
| 1649797077 | Eric R Ricker | Optometrist | 7934 North Lindbergh Blvd Ste A, Hazelwood, MO 63042 | 2017-08-25 |
| 1750802799 | Health Remedies LLC | Meals | 414 Elmgrove Ln Apt 2, St. Louis, MO 63042 | 2017-06-29 |
| 1508396193 | Tyrone Cain | Home Health | 7865 Chalmette Drive, Hazelwood, MO 63042 | 2017-06-15 |
| 1497114888 | Joshalyn Mills | Massage Therapist | 4808 Tall Tree Ln, Hazelwood, MO 63042 | 2016-02-15 |
| 1902264286 | Tricar Inc | In Home Supportive Care | 1740 Leafcrest Dr, Hazelwood, MO 63042 | 2016-02-02 |
| 1255750840 | Jeffrey Kelly | Specialist/Technologist | 7220 N Lindbergh, Salyer Perfusion Blvd Ste 360, St. Louis, MO 63042 | 2014-04-10 |
| 1477894426 | 2nd Chance 4 You, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 327 Sturbridge, Hazelwood, MO 63042 | 2013-03-14 |
| Find all providers in zip 63042 | ||||
| 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 |
|---|---|---|---|---|
| 1801351382 | Eric R Hotze, Dmd, PC | Dentist | 6312 Hazelwest Ct Ste 100, Hazelwood, MO 63042-1760 | 2019-02-08 |
| 1891114096 | Giganti Dental | Dentist | 317 Elmgrove Ave, Hazelwood, MO 63042-2036 | 2014-04-15 |
| 1174638746 | Eric Robert Hotze | Dentist | 6312 Hazelwest Ct, Suite #100, Hazelwood, MO 63042 | 2006-08-21 |
| 1437146438 | Eustace Eugene King Iv | Dentist | 807 Hazelwest Dr, Hazelwood, MO 63042-1748 | 2005-10-04 |
| 1447247515 | Gordon Edgar Stuart | Dentist | 6182 Howdershell Rd, Hazelwood, MO 63042-1170 | 2005-10-04 |
| 1114929171 | Monroe Mitchell Ginsburg | Dentist | 811 Hazelwest Dr, Hazelwood, MO 63042-1749 | 2005-06-02 |
| 1760044390 | Justin S Garner | Dentist | 811 Hazelwest Dr, Hazelwood, MO 63042-1749 | 2019-07-03 |
| 1407332430 | Jordan Bruns | Dentist | 811 Hazelwest Dr, Hazelwood, MO 63042-1749 | 2018-07-12 |
| 1215386735 | Pooja Patel | Dentist | 8430 Pershall Rd, Hazelwood, MO 63042-3075 | 2016-06-06 |
| 1487934667 | Emily J Johnson | Dentist | 5992 Howdershell Rd, Suite 206, Hazelwood, MO 63042-4107 | 2011-08-19 |
| Find all providers in HAZELWOOD | ||||
Please comment or provide details below to improve the information on ST.LOUIS CENTER FOR AESTHETIC AND RESTOR. DENTISTRY/LINDBERGH SMILE.
| 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.