ST CLAIR FAMILY DENTISTRY (NPI# 1073073227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073073227 |
| Entity Type | Organization |
| Organization Name | ST CLAIR FAMILY DENTISTRY |
| Practice Address |
525 E Springfield Rd Saint Clair MO 63077-1735 |
| Mailing Address |
1008 Tamarisk Dr Leavenworth KS 66048-5594 |
| Practice Telephone | 6366291103 |
| Mailing Telephone | 3145669072 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Authorized Official Name | PHILLIP BUCKLEY (CEO) |
| Authorized Official Telephone | 3145669072 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
525 E SPRINGFIELD RD |
| City | SAINT CLAIR |
| State | MO |
| Zip Code | 63077-1735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679981153 | Phillip Buckley | Dentist | 525 E Springfield Rd, Saint Clair, MO 63077-1735 | 2014-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346687845 | Medley Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 1435 N. Main St., St. Clair, MO 63077 | 2013-05-24 |
| 1225367337 | St Clair Allergy-asthma | Specialist | 1020 St. Clair Plaza, St. Clair, MO 63077 | 2009-12-18 |
| 1568614063 | Victorian Manor of St Clair | Assisted Living Facility | 160 Charles Dr, St Clair, MO 63077 | 2008-10-15 |
| 1962664052 | Anita Farris Altemeyer | Physical Therapist | 214 Hartman Place, St Clair, MO 63077 | 2008-06-30 |
| 1720113053 | John D Marcum | Allergy & Immunology | 1020 St Clair Plaza, St Clair, MO 63077 | 2007-02-23 |
| 1538227970 | St. Clair Ambulance District | Ambulance | 3 Paul Parks Dr, St. Clair, MO 63077 | 2006-12-05 |
| 1821162280 | Kiko Enterprises, LLC | Pharmacy | 920 H St Clair Plaza Dr, St Clair, MO 63077 | 2006-11-20 |
| 1235139221 | Kirk Edward Brockman | Family Medicine | 1001 Cardwell St, St. Clair, MO 63077 | 2005-07-30 |
| 1487869368 | Kamil Dostalik | Physical Therapist | 1135 N Commercial Ave, Saint Clair, MO 63077-1012 | 2007-05-13 |
| 1982914818 | St Clair Physical Therapy Inc | Clinic/Center | 1135 N Commercial Ave, Saint Clair, MO 63077-1012 | 2010-10-13 |
| Find all providers in zip 63077 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625821 | Deblouw Family Dentistry | Clinic/Center | 1980 Fred W Moore Hwy, Saint Clair, MI 48079-4701 | 2020-06-26 |
| 1346769494 | Matthew J. Bruzek, D.d.s., P.l.l.c. | Clinic/Center | 201 N Riverside Ave Unit C3c4, Saint Clair, MI 48079-5491 | 2017-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444740 | Ressel Family Dentistry LLC | Clinic/Center | 1 E Broadway Ste A, Columbia, MO 65203-4205 | 2020-10-16 |
| 1467059980 | Valudental Independence LLC | Clinic/Center | 600 E Us Highway 24, Independence, MO 64050-2910 | 2020-10-07 |
| 1144835828 | Rem Dds, LLC | Clinic/Center | 10000 Watson Rd Ste 2mm, Saint Louis, MO 63126-1848 | 2020-09-10 |
| 1043824832 | Pleasant Dental Care Kc | Clinic/Center | 912 E 63rd St Ste 100, Kansas City, MO 64110-3439 | 2020-08-31 |
| 1164033122 | Dental Depot of Blue Springs Pllc | Clinic/Center | 1500 S 7 Hwy, Blue Springs, MO 64014-3943 | 2020-08-13 |
| 1184235517 | Twin Creeks Family Dentistry LLC | Clinic/Center | 10560 N Ambassador Dr Ste 200, Kansas City, MO 64153-1591 | 2020-08-10 |
| 1003434234 | Jason L Allen Dmd LLC | Clinic/Center | 5147 Daggett Ave, Saint Louis, MO 63110-3009 | 2020-07-14 |
| 1538622071 | Smile Safari of Missouri | Clinic/Center | 10016 E 63rd St, Raytown, MO 64133-5102 | 2019-04-11 |
| 1275094864 | Itooth Family Dentistry, LLC | Clinic/Center | 3211 E Battlefield St Ste 100, Springfield, MO 65804-4071 | 2019-03-27 |
| 1033677901 | C. Hastings, Dds, LLC | Clinic/Center | 1709 Heritage Hills Dr, Washington, MO 63090-4621 | 2019-03-08 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR |
| Zip Code | 63077 |
Please comment or provide details below to improve the information on ST CLAIR FAMILY DENTISTRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.