PERIODONTICS LTD


Address: 3555 Sunset Office Dr Ste C105, Saint Louis, MO 63127-1014
Phone: 3149653271

PERIODONTICS LTD (NPI# 1124212790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124212790
Entity Type Organization
Organization Name PERIODONTICS LTD
Other Organization Name GEORGE V. DUELLO
Practice Address 3555 Sunset Office Dr Ste C105
Saint Louis
MO 63127-1014
Practice Telephone 3149653271
Practice Fax Number 3149658113
Mailing Telephone 3149653271
Mailing Fax Number 3149658113
Enumeration Date 2007-08-28
Last Update Date 2007-08-28
Authorized Official Name DR. GEORGE V DUELLO (DR.)
Authorized Official Telephone 3149653271
Authorized Official Credential DDS,MS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
013097 MO Dental Providers

Other Provider/Organization Names

Other Name Type Code
George V. Duello Former Legal Business Name - Organization

Office Location

Street Address 3555 SUNSET OFFICE DR STE C105
City SAINT LOUIS
State MO
Zip Code 63127-1014

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598988909 Matthew Shelby Slaven Dentist 3555 Sunset Office Dr Ste C105, Saint Louis, MO 63127-1014 2007-04-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730698374 Advanced Surgical Center of Sunset Hills LLC Clinic/Center 4594 S Lindbergh Blvd, Saint Louis, MO 63127 2017-09-27
1811382179 Robert Paul Hintze Dentist 3555 Sunset Office Dr Ste 210, Saint Louis, MO 63127 2015-04-03
1639560782 Bwell Pharmacy LLC Pharmacy 12128 Gravois Road, St.louis, MO 63127 2015-02-11
1043612773 Braham Dev Dewan Internal Medicine 9917 Grandview Forest Court, Saint Louis, MO 63127 2014-09-25
1639518673 Jonathan Yoon Otolaryngology 9701 Landmark Parkway Dr Ste 201, Saint Louis, MO 63127 2013-06-24
1639515315 Kathleen Mary Lowe Internal Medicine 3844 S Lindbergh Blvd Ste 120, Saint Louis, MO 63127 2013-05-21
1366782088 Sunset Hills Family Chiropractic LLC Clinic/Center 4600 South Lindbergh Ave, Suite 3, St. Louis, MO 63127 2013-02-15
1063743300 John Ralph Firth Dentist 3890 So. Lindbergh Blvd., Suite 115, Sunset Hills, MO 63127 2010-01-27
1174762850 Antonio I Longrais Dentist 4600 S. Lindbeigh 63127, St. Louis, MO 63127 2009-02-19
1447439716 George D Bankhead Dds Ms PC Dentist 3890 S Lindbergh Blvd, Suite 115, Sunset Hills, MO 63127 2007-11-02
Find all providers in zip 63127

Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598988909 Matthew Shelby Slaven Dentist 3555 Sunset Office Dr Ste C105, Saint Louis, MO 63127-1014 2007-04-11
1093737264 William Cohen Dentist 777 S New Ballas Rd Ste 217w, Saint Louis, MO 63141-8717 2006-07-24
1912528548 Parth Mangrola Dentist 3320 Rutger St, Saint Louis, MO 63104-1122 2020-05-05
1871756130 David Douglas Miley Dentist 1034 S Brentwood Blvd, Suite 740, Saint Louis, MO 63117-1223 2008-07-08
1164623963 William B Albair Dentist 3555 Sunset Office Dr, Suite C-105, Saint Louis, MO 63127-1015 2007-05-30
1417166000 Mary Hagan Burke Dentist 5600 Oakland Ave, Dental Hygiene St Louis Community College-forest Park, Saint Louis, MO 63110-1393 2007-05-21
1003021833 Raphael Ivan Williams Dentist 8515 Delmar Blvd, 217, Saint Louis, MO 63124-2168 2007-05-14
1720290372 Deshmukh Dds, PC Dentist 1034 S Brentwood Blvd, Suite #740, Saint Louis, MO 63117-1223 2007-05-04
1174746564 George V Duello Dentist 3555 Sunset Office Dr, Suite C105, Saint Louis, MO 63127-1015 2007-04-11
1861523581 Marwan Assaf Dentist 11709 Old Ballas Rd, Suite 206, Saint Louis, MO 63141-7029 2007-03-07
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63127

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Dataset Information

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.

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