EIDELMAN AND TRAUB DDS,INC (NPI# 1790822419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790822419 |
| Entity Type | Organization |
| Organization Name | EIDELMAN AND TRAUB DDS,INC |
| Practice Address |
6680 Chippewa St Suite 100-101 Saint Louis MO 63109-2537 |
| Practice Telephone | 3143538994 |
| Practice Fax Number | 3143538997 |
| Mailing Telephone | 3143538994 |
| Mailing Fax Number | 3143538997 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GARY S TRAUB (SECRETARY) |
| Authorized Official Telephone | 3143538994 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
6680 CHIPPEWA ST SUITE 100-101 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63109-2537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477520476 | Joan Marie Pernoud | Ophthalmology | 6680 Chippewa St, Suite 220, Saint Louis, MO 63109-2537 | 2006-03-08 |
| 1265631568 | Jonathan Craven Schell | Ophthalmology | 6680 Chippewa St, Suite 220, Saint Louis, MO 63109-2537 | 2007-07-16 |
| 1639398555 | Mark Andrew Schisler | Chiropractor | 6680 Chippewa St, Suite 230, Saint Louis, MO 63109-2537 | 2007-04-25 |
| 1295872984 | Gary S Traub | Dentist | 6680 Chippewa St, Suite 100-101, Saint Louis, MO 63109-2537 | 2007-01-31 |
| 1053428920 | Muhammad Ishaq Chishti | Ophthalmology | 6680 Chippewa St, Suite 220, Saint Louis, MO 63109-2537 | 2006-08-24 |
| 1225096928 | Eye Physicians of Saint Louis | Ophthalmology | 6680 Chippewa St, Suite 220, Saint Louis, MO 63109-2537 | 2006-05-02 |
| 1750359345 | Flavius Gentry Pernoud IIi | Ophthalmology | 6680 Chippewa St, Suite 220, Saint Louis, MO 63109-2537 | 2006-03-09 |
| 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 EIDELMAN AND TRAUB DDS,INC.
| 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.