SOUTH COUNTY DENTAL IMAGING CENTER
NPI 1053647008
Clinic/Center - Radiology in Saint Louis, MO

Active since October 27, 2009
12818 TESSON FERRY RD, SUITE 204, SAINT LOUIS, MO 63128(314) 722-2033(314) 842-1590 Get Directions Write a Review

NPPES record last updated: October 27, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South County Dental Imaging Center NPPES

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

SOUTH COUNTY DENTAL IMAGING CENTER (NPI 1053647008) is a healthcare organization registered as a radiology in Saint Louis, Missouri and active in the NPI registry since October 2009. The organization lists John R Monterubio, President, as its authorized official.

NPPES Registry Identity

NPI1053647008
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameSOUTH COUNTY DENTAL IMAGING CENTER
Location Address12818 TESSON FERRY RD, SUITE 204Saint Louis, MO 63128-2945
Mailing Address1034 S Brentwood Blvd, Suite 1010Saint Louis, MO 63117-1223 · (314) 721-1010 · Fax (314) 721-5276
Fax(314) 842-1590
Organization SubpartNo
Authorized OfficialJohn R MonterubioPresident · (314) 721-1010
Enumeration DateOctober 27, 2009
NPI 1053647008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
12818 TESSON FERRY RD, Saint Louis, MO 63128

Other Providers at the Same Location NPPES 11

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

Dentist (General Practice)
12818 TESSON FERRY RD, SUITE 202
SAINT LOUIS, MO 63128
Ophthalmology
12818 TESSON FERRY RD
SAINT LOUIS, MO 63128
Ophthalmology
12818 TESSON FERRY RD, SUITE 201
SAINT LOUIS, MO 63128
Psychiatry & Neurology (Psychiatry)
12818 TESSON FERRY RD, SUITE 101
SAINT LOUIS, MO 63128
Dentist (General Practice)
12818 TESSON FERRY RD, SUITE 102
SAINT LOUIS, MO 63128
Specialist
12818 TESSON FERRY RD, SUITE 101
SAINT LOUIS, MO 63128
Optometrist
12818 TESSON FERRY RD, SUITE 201
SAINT LOUIS, MO 63128
Dietitian, Registered
12818 TESSON FERRY RD, SUITE 104
SAINT LOUIS, MO 63128

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 South County Dental Imaging Center's NPI number?

The NPI number for South County Dental Imaging Center is 1053647008. It was assigned to this organization in the NPPES registry on October 27, 2009.

Where is South County Dental Imaging Center located?

South County Dental Imaging Center is located at 12818 Tesson Ferry Rd Suite 204, Saint Louis, MO 63128. The listed phone number is (314) 722-2033.

What is South County Dental Imaging Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for South County Dental Imaging Center was last updated on October 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.