Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Carrollwood Dental Group LLC

Organization General Practice Dentistry · NPI 1821216060

Carrollwood Dental Group LLC provides General Practice Dentistry in Bridgeton, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12147 Natural Bridge Rd
Bridgeton, MO 63044-2018
Phone: (314) 739-3700
Fax: (314) 739-5048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2003012113 (MO)
General Practice Dentistry Taxonomy 1223G0001X · Licence 14202 (MO)
General Practice Dentistry Taxonomy 1223G0001X · Licence 013326 (MO)

Record details

NPI number1821216060
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Clark — Owner · (314) 739-3700
NPI enumeratedApril 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address12147 Natural Bridge Rd, Bridgeton, MO 63044-2018

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