Southside Dental Care, LLC
Southside Dental Care, LLC provides General Practice Dentistry in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3654 Gravois AveSaint Louis, MO 63116-4728
Phone: (314) 865-3838
Fax: (314) 865-2419
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
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 200-101-1347 (MO) |
|---|
Record details
| NPI number | 1134345093 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tri Ly — Dentist · (314) 865-3838 |
| NPI enumerated | April 18, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 3654 Gravois Ave, Saint Louis, MO 63116-4728 |
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