JAMES T FETSCH DMD LLC


Address: 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128
Phone: 3148493234

JAMES T FETSCH DMD LLC (NPI# 1235771155) 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) 1235771155
Entity Type Organization
Organization Name JAMES T FETSCH DMD LLC
Practice Address 10004 Kennerly Rd Suite 240
Saint Louis
MO 63128
Practice Telephone 3148493234
Practice Fax Number 3148493241
Mailing Telephone 3148493234
Mailing Fax Number 3148493241
Enumeration Date 2019-10-11
Last Update Date 2019-10-11
Authorized Official Name DR. JAMES T. FETSCH (MEMBER)
Authorized Official Telephone 3148493234
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider/Organization Names

Other Name Type Code
South County Complete Dental Care Doing Business As Name - Organization

Office Location

Street Address 10004 KENNERLY RD SUITE 240
City SAINT LOUIS
State MO
Zip Code 63128

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326504655 Nikodem Dental Holdings Dentist 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 2019-02-12
1932678505 Michelle Anne Arvidson Physical Therapy Assistant Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 2018-11-13
1245726710 Kristen Rider Nurse Practitioner 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 2018-07-07
1306217427 Sophia Bednarski Dentist 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 2015-10-15
1427434224 Darcie Burrus Counselor 12523 Old Tesson Rd G, St Louis, MO 63128 2015-08-04
1710368584 Sara Hawatmeh Internal Medicine 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 2015-06-17
1871989590 Celia Grace Montes-kolence Speech-Language Pathologist 12335 W Bend Drive, Saint Louis, MO 63128 2015-04-09
1245629302 Marius Antonio Evans Dentist 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 2015-01-13
1801230313 Sarah Elizabeth Walsh Emergency Medicine 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 2013-04-26
1831464130 Shaun B Hanson Internal Medicine 10012 Kennerly Rd Ste 102, Saint Louis, MO 63128 2012-03-20
Find all providers in zip 63128

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801493762 Alexander Ahmadi Dentist 4171 Crescent Dr Ste 102, Saint Louis, MO 63129-3645 2020-10-05
1396353876 Michael Rehme Jr. Dentist 2821 N Ballas Rd Ste 245, Saint Louis, MO 63131-2378 2020-07-21
1013579010 Jasmine Esmailzadegan Dentist 200 S Kirkwood Rd Ste 90, Saint Louis, MO 63122-4351 2019-07-01
1194295964 Rivka Goldenhersh, D.m.d., LLC Dentist 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 2018-12-04
1952895252 Feras Al Khatib Dentist 7809 Watson Rd, Saint Louis, MO 63119-5408 2018-06-20
1255825675 Brenton Patrick Ruopp Dentist 16 Hampton Village Plz Ste 229, Saint Louis, MO 63109-2111 2018-06-19
1598258501 Daniel Thomas Doherty Dentist 621 S New Ballas Rd # 10, Saint Louis, MO 63141-8232 2018-06-13
1649700964 Adam J Bree Dentist 605 Old Ballas Rd Ste 118, Saint Louis, MO 63141-7070 2017-06-19
1811448863 We Care Mobile Dental LLC Dentist 6903 Waterman Ave, Saint Louis, MO 63130-4333 2016-10-14
1215362124 Alex Sharifian Dds Francis Park Dentistry PC Dentist 6650 Chippewa Street, Saint Louis, MO 63109 2013-09-10
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63128

Improve Information

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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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