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

Wildhorse Dental Care, LLC

Organization General Practice Dentistry · NPI 1194322990

Wildhorse Dental Care, LLC provides General Practice Dentistry in Lake St Louis, Missouri. Registered with an NPI since 2020.

In the registry since
2020
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

191 Civic Center Dr
Lake St Louis, MO 63367-3027
Phone: (636) 561-6400
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 number1194322990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Boscia — President · (636) 561-6400
Other names New Creation Dental Care; New Creation Dental Care
NPI enumeratedOctober 5, 2020
Last updated in NPPESJuly 13, 2021
Certification dateJuly 13, 2021
Mailing address191 Civic Center Dr, Lake St Louis, MO 63367-3027

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