Pedaitric Dental and Orthodontic Associates of St Louis
Pedaitric Dental and Orthodontic Associates of St Louis provides Pediatric Dentistry in Kirkwood, Missouri. Licensed in Missouri. Registered with an NPI since 2011.
- Licensed in
- MO
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
430 S Clay AveKirkwood, MO 63122-5808 Not confirmed with CMS for 15 years — call before visiting
Phone: (314) 965-7630
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 14227 (MO) |
|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | Taxonomy 1223X0400X · Licence 14227 (MO) |
Record details
| NPI number | 1780989061 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Veraldi — Owner · (314) 965-7630 |
| NPI enumerated | January 19, 2011 |
| Last updated in NPPES | January 19, 2011 |
| Mailing address | 430 S Clay Ave, Kirkwood, MO 63122-5808 |