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RIVER CITY ENDODONTICS
NPI 1043899677
Dentist - Endodontics in O Fallon, MO

Active since April 02, 2021
113 CHURCH ST, O FALLON, MO 63366(636) 362-4040(636) 362-4141 Get Directions Write a Review

NPPES record last updated: December 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2021, Apr 2, 2021 (2 updates tracked since 2021).

About River City Endodontics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVER CITY ENDODONTICS (NPI 1043899677) is a healthcare organization registered as an endodontics in O Fallon, Missouri and active in the NPI registry since April 2021. The organization lists Matthew James Walker, Owner, as its authorized official.

NPPES Registry Identity

NPI1043899677
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameRIVER CITY ENDODONTICS
Location Address113 CHURCH STO Fallon, MO 63366-2894
Mailing Address113 Church StO Fallon, MO 63366-2894 · (636) 362-4040 · Fax (636) 362-4141
Phone(636) 362-4040
Fax(636) 362-4141
Organization SubpartNo
Authorized OfficialMatthew James WalkerOwner · (636) 362-4040
Enumeration DateApril 2, 2021
Last NPPES UpdateDecember 12, 20212 updates tracked since enumeration
NPPES CertifiedDecember 12, 2021
✔ NPI 1043899677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
113 CHURCH ST, O Fallon, MO 63366
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACK GUO
Dentist (Endodontics)
113 CHURCH ST
O FALLON, MO 63366
St. Charles County (636) 362-4040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is River City Endodontics's NPI number?

The NPI number for River City Endodontics is 1043899677. It was assigned to this organization in the NPPES registry on April 2, 2021.

Where is River City Endodontics located?

River City Endodontics is located at 113 Church St, O Fallon, MO 63366. The listed phone number is (636) 362-4040.

What is River City Endodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for River City Endodontics was last updated on December 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.