DR. MATTHEW SHELBY SLAVEN (NPI# 1598988909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598988909 |
Entity Type | Individual |
Full Name | DR. MATTHEW SHELBY SLAVEN |
Credential | D.D.S., M.S.D. |
Practice Address |
3555 Sunset Office Dr Ste C105 Saint Louis MO 63127-1014 |
Mailing Address |
238 Cedar Trail Dr Ballwin MO 63011-2655 |
Practice Telephone | 3149653271 |
Practice Fax Number | 3149658113 |
Mailing Telephone | 6365272307 |
Enumeration Date | 2007-04-11 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
2005014238 | MO | Dental Providers |
Street Address |
3555 SUNSET OFFICE DR STE C105 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63127-1014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124212790 | Periodontics Ltd | Dentist | 3555 Sunset Office Dr Ste C105, Saint Louis, MO 63127-1014 | 2007-08-28 |
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 Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1124212790 | Periodontics Ltd | Dentist | 3555 Sunset Office Dr Ste C105, Saint Louis, MO 63127-1014 | 2007-08-28 |
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 |
City | SAINT LOUIS |
Zip Code | 63127 |
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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.