Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Westport Periodontics PC

Organization Periodontics · NPI 1902953391

Westport Periodontics PC provides Periodontics 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?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

77 Westport Plz Ste 367
Saint Louis, MO 63146-3107
Phone: (314) 434-4676
Fax: (314) 434-6806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X (MO)

Record details

NPI number1902953391
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Kyd — President · (314) 434-4676
NPI enumeratedJanuary 5, 2007
Last updated in NPPESAugust 22, 2020
Mailing address77 Westport Plz, Suite 367, Saint Louis, MO 63146-3107

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