DR. JOEL GARY LUEDEKE (NPI# 1679695118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679695118 |
| Entity Type | Individual |
| Full Name | DR. JOEL GARY LUEDEKE |
| Credential | D.M.D. |
| Practice Address |
720 Olive St Suite 1700 Saint Louis MO 63101-2338 |
| Mailing Address |
Po Box 771460 Saint Louis MO 63177-2460 |
| Practice Telephone | 9254874421 |
| Practice Fax Number | 3142413204 |
| Mailing Telephone | 9258990794 |
| Mailing Fax Number | 3142413204 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2009-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
33623 | CA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2008014527 | MO | Dental Providers |
| Street Address |
720 OLIVE ST SUITE 1700 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63101-2338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588722748 | Morio Miyamoto | Optometrist | 720 Olive St, Suite 420, Saint Louis, MO 63101-2338 | 2006-12-04 |
| 1851454151 | Downtown Clinic of Optometry, Inc | Optometrist | 720 Olive St, Suite 420, Saint Louis, MO 63101-2338 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992342661 | St. Louis General Hospital | Clinic/Center | 916 Olive Street, St Louis, MO 63101 | 2019-12-02 |
| 1285142711 | The Community Wellness Project | Preventive Medicine | 906 Olive Street, Suite 904, St. Louis, MO 63101 | 2018-01-18 |
| 1427591734 | David Keith Barton | Counselor | 800 North Tucker, St. Louis, MO 63101 | 2016-11-18 |
| 1477965176 | Robin Ann Kundra Md | Internal Medicine | 916 Olive Street #312, St. Louis, MO 63101 | 2014-05-29 |
| 1942494190 | Deami Faida Watson | Speech-Language Pathologist | 801 N 11th Street, Saint Louis, MO 63101 | 2007-08-30 |
| 1104049618 | Mahoney and Ballard Dmd Inc | Dentist | 720 Olive Street, Suite 1700, Saint Louis, MO 63101 | 2007-04-11 |
| 1891827259 | North County Chiropractic & Rehab, Inc | Chiropractor | 7189 Lindenbergh Blvd N, Hazlewood, MO 63101 | 2007-03-12 |
| 1063561769 | Christopher Bradley Hill | Dentist | 1113 Locust Street, St. Louis, MO 63101 | 2007-01-10 |
| 1629148903 | Perry Bartels | Dentist | 515 Olive Street Suite 1802, Saint Louis, MO 63101 | 2006-11-08 |
| 1487179859 | Jamie Mufson | Speech-Language Pathologist | 801 N 11th St, Saint Louis, MO 63101 | 2017-08-07 |
| Find all providers in zip 63101 | ||||
| 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 |
|---|---|---|---|---|
| 1801493762 | Alexander Ahmadi | Dentist | 4171 Crescent Dr Ste 102, Saint Louis, MO 63129-3645 | 2020-10-05 |
| 1396353876 | Michael Rehme Jr. | Dentist | 2821 N Ballas Rd Ste 245, Saint Louis, MO 63131-2378 | 2020-07-21 |
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1013579010 | Jasmine Esmailzadegan | Dentist | 200 S Kirkwood Rd Ste 90, Saint Louis, MO 63122-4351 | 2019-07-01 |
| 1194295964 | Rivka Goldenhersh, D.m.d., LLC | Dentist | 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 | 2018-12-04 |
| 1952895252 | Feras Al Khatib | Dentist | 7809 Watson Rd, Saint Louis, MO 63119-5408 | 2018-06-20 |
| 1255825675 | Brenton Patrick Ruopp | Dentist | 16 Hampton Village Plz Ste 229, Saint Louis, MO 63109-2111 | 2018-06-19 |
| 1598258501 | Daniel Thomas Doherty | Dentist | 621 S New Ballas Rd # 10, Saint Louis, MO 63141-8232 | 2018-06-13 |
| 1649700964 | Adam J Bree | Dentist | 605 Old Ballas Rd Ste 118, Saint Louis, MO 63141-7070 | 2017-06-19 |
| 1811448863 | We Care Mobile Dental LLC | Dentist | 6903 Waterman Ave, Saint Louis, MO 63130-4333 | 2016-10-14 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63101 |
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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.