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

Pld of South City PC

Organization General Practice Dentistry · NPI 1871479758

Pld of South City PC provides General Practice Dentistry in Saint Louis, Missouri. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3859 Gravois Ave
Saint Louis, MO 63116-4657
Phone: (314) 382-2000
Fax: (314) 382-2411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1871479758
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Travis — Owner · (314) 635-0822
Other names Pine Lawn Dental
NPI enumeratedAugust 14, 2025
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing address3708 Jennings Station Rd, Saint Louis, MO 63121-3500

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