DR. MAGGIE AZAB BOTTROS (NPI# 1760727648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760727648 |
| Entity Type | Individual |
| Full Name | DR. MAGGIE AZAB BOTTROS |
| Other Name | DR. MAGGIE AZAB BOTTROS |
| Credential | DDS, MS |
| Practice Address |
14377 Woodlake Dr Suite 215 Chesterfield MO 63017-5735 |
| Mailing Address |
20 N Kingshighway Blvd #1-a Saint Louis MO 63108-1366 |
| Practice Telephone | 3147377754 |
| Mailing Telephone | 3147377754 |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2012023477 | MO | Dental Providers |
| Street Address |
14377 WOODLAKE DR SUITE 215 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-5735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720243 | Stephen Charles Snitzer | Dentist | 14377 Woodlake Dr, Ste 214, Chesterfield, MO 63017-5735 | 2005-06-16 |
| 1255736278 | Charles Daniel Hurley | Dentist | 14377 Woodlake Dr, Ste 211, Chesterfield, MO 63017-5735 | 2014-11-03 |
| 1679987580 | Emily Hurley | Dentist | 14377 Woodlake Dr, Suite 211, Chesterfield, MO 63017-5735 | 2014-06-18 |
| 1639433626 | David Guilbeault Dmd Woods Mill LLC | Dentist | 14377 Woodlake Dr, Ste 115, Chesterfield, MO 63017-5735 | 2012-06-25 |
| 1023382223 | Daniel Wray Charpentier | Dentist | 14377 Woodlake Dr, 210, Chesterfield, MO 63017-5735 | 2012-03-06 |
| 1295030997 | Kathleen Heather Ottolini | Chiropractor | 14377 Woodlake Dr, Suite 315, Chesterfield, MO 63017-5735 | 2011-01-11 |
| 1922316843 | First Health Chiropractic LLC | Chiropractor | 14377 Woodlake Dr, Ste. 315, Chesterfield, MO 63017-5735 | 2010-09-14 |
| 1790001790 | Peg Elizabeth Niemann | Counselor | 14377 Woodlake Dr, Suite 118, Chesterfield, MO 63017-5735 | 2010-04-15 |
| 1811213010 | Chiropractic Physicians Group | Chiropractor | 14377 Woodlake Dr, Suite 110, Chesterfield, MO 63017-5735 | 2010-04-13 |
| 1841529161 | Heather Winona Clark | Counselor | 14377 Woodlake Dr, Suite 308, Chesterfield, MO 63017-5735 | 2009-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316305352 | Sung Ho Kim | Dentist | 1001 Chesterfield Pkwy E Ste 202, Chesterfield, MO 63017-2167 | 2016-02-05 |
| 1093185910 | Roman Sadikoff Pllc | Dentist | 50475 Gratiot Ave Ste 4, Chesterfield, MI 48051-3128 | 2015-10-05 |
| 1588072391 | Paul Douglas Edgerley | Dentist | 14377 Woodlake Dr Ste 206, Chesterfield, MO 63017-5735 | 2014-07-24 |
| 1578863403 | Thomas Andrew Conner | Dentist | 9510 Iron Bridge Rd, Suite 100, Chesterfield, VA 23832-6400 | 2010-10-26 |
| 1841509767 | Roger Kirk Zacher | Dentist | 383 Shetland Valley Ct., Chesterfield, MO 63005 | 2010-09-27 |
| 1316100472 | Jonathan W Silva | Dentist | 13463 Olive Blvd, Chesterfield, MO 63017-3166 | 2008-07-08 |
| 1013176973 | Robert Emil Beck | Dentist | 2319 Westpar Dr, Chesterfield, MO 63017-7365 | 2008-06-05 |
| 1124232830 | Scott Mahlin | Dentist | 1748 Clarkson Rd, Chesterfield, MO 63017-4976 | 2007-05-10 |
| 1750509212 | Randy L Kohn | Dentist | 34121 23 Mile Rd, Chesterfield, MI 48047-2077 | 2007-04-23 |
| 1447373501 | Albert T Sasala | Dentist | 9856 Lori Rd, Suite 100, Chesterfield, VA 23832-6623 | 2007-04-06 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.