LESTER C JOERN, JR, DDS, PC (NPI# 1720075005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720075005 |
| Entity Type | Organization |
| Organization Name | LESTER C JOERN, JR, DDS, PC |
| Other Organization Name | SOUTH ST. LOUIS DENTAL GROUP |
| Practice Address |
6451 Chippewa St Suite A Saint Louis MO 63109-2104 |
| Practice Telephone | 3147527468 |
| Practice Fax Number | 3147525168 |
| Mailing Telephone | 3147527468 |
| Mailing Fax Number | 3147525168 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LESTER C JOERN JR. (PRESIDENT) |
| Authorized Official Telephone | 3147527468 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12510 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | WITH UNITED CONCORDIA | 519832 | 01 |
| MO | BCBS - ARKANSAS | CBAR1 | 01 |
| MO | AETNA DMO | 014487 | 01 |
| MO | BCBS - MO | 15138 | 01 |
| MO | BCBS - TEXAS | V12510 | 01 |
| MO | CIGNA DHMO | 103333 | 01 |
| Other Name | Type Code |
|---|---|
| South St. Louis Dental Group | Doing Business As Name - Organization |
| Street Address |
6451 CHIPPEWA ST SUITE A |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63109-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478558 | Frederick Durlin Bauschard | Dermatology | 6451 Chippewa St, Ste 2, Saint Louis, MO 63109-2104 | 2005-06-24 |
| 1952775793 | Tyler M Aholt Dds LLC | Dentist | 6451 Chippewa St, Saint Louis, MO 63109-2104 | 2015-11-17 |
| 1548520570 | Tyler Michael Aholt | Dentist | 6451 Chippewa St, Saint Louis, MO 63109-2104 | 2012-05-24 |
| 1881719524 | Dermatology Consultants, P.C. | Dermatology | 6451 Chippewa St, Suite 2, Saint Louis, MO 63109-2104 | 2007-03-20 |
| 1154404879 | Lester C Joern Jr. | Dentist | 6451 Chippewa St, Saint Louis, MO 63109-2104 | 2006-10-24 |
| 1780765263 | Melissa Hillhouse Rea | Dentist | 6451 Chippewa St, Saint Louis, MO 63109-2104 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
| 1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
| 1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
| 1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
| 1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
| 1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
| 1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
| 1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
| Find all providers in zip 63109 | ||||
| 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 | 63109 |
Please comment or provide details below to improve the information on LESTER C JOERN, JR, DDS, PC.
| 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.