GLEN E. MUELLER D.M.D., P.C. (NPI# 1255472254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255472254 |
Entity Type | Organization |
Organization Name | GLEN E. MUELLER D.M.D., P.C. |
Practice Address |
13096 Tesson Ferry Rd Saint Louis MO 63128-3442 |
Practice Telephone | 3148420060 |
Practice Fax Number | 3148420067 |
Mailing Telephone | 3148420060 |
Mailing Fax Number | 3148420067 |
Enumeration Date | 2007-02-11 |
Last Update Date | 2007-10-01 |
Authorized Official Name | DR. GLEN E. MUELLER (C.E.O.) |
Authorized Official Telephone | 3148420060 |
Authorized Official Credential | D.M.D. |
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 |
13096 TESSON FERRY RD |
City | SAINT LOUIS |
State | MO |
Zip Code | 63128-3442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710028717 | Stephanie Ann Wood | Dentist | 13096 Tesson Ferry Rd, Saint Louis, MO 63128-3442 | 2007-02-11 |
1942497136 | Glen E Mueller | Dentist | 13096 Tesson Ferry Rd, Saint Louis, MO 63128-3442 | 2007-10-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
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 |
Find all providers in zip 63128 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144835828 | Rem Dds, LLC | Clinic/Center | 10000 Watson Rd Ste 2mm, Saint Louis, MO 63126-1848 | 2020-09-10 |
1003434234 | Jason L Allen Dmd LLC | Clinic/Center | 5147 Daggett Ave, Saint Louis, MO 63110-3009 | 2020-07-14 |
1538630629 | A Hallie Lillmars Dds LLC | Clinic/Center | 8720 Big Bend Blvd Ste A, Saint Louis, MO 63119-3730 | 2018-12-16 |
1396215273 | Aaron J Cregger Dds LLC | Clinic/Center | 2821 N Ballas Rd Ste 260, Saint Louis, MO 63131-2378 | 2018-12-04 |
1417477985 | Midwest Mobile Dentistry LLC | Clinic/Center | 1 N Brentwood Blvd Ste 1000, Saint Louis, MO 63105-3937 | 2017-06-26 |
1144686320 | Raymond J Skosky, Dds,llc | Clinic/Center | 5530 Virginia Ave, Saint Louis, MO 63111-1939 | 2016-01-04 |
1437456001 | Plaza Health Dentistry | Clinic/Center | 9420 Watson Rd, Saint Louis, MO 63126-1529 | 2011-02-17 |
1053467746 | St. Louis University | Clinic/Center | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2007-01-26 |
1780797308 | Jack M. Marincel, D.d.s., P.C. | Clinic/Center | 6060 Telegraph Rd, Suite H, Saint Louis, MO 63129-4762 | 2006-08-16 |
1033617386 | Carestl Health | Clinic/Center | 4500 Pope Ave, Saint Louis, MO 63115 | 2018-01-31 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63128 |
Please comment or provide details below to improve the information on GLEN E. MUELLER D.M.D., P.C..
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.