1. Home
  2. Directory
  3. Illinois
  4. Glen Carbon
  5. Dentist
  6. NPI Profile

ST. LOUIS SURGICAL ASSOCIATES, LLC
NPI 1093064057
Dentist - Periodontics in Glen Carbon, IL

Active since September 06, 2012
24 GINGER CREEK PKWY, GLEN CARBON, IL 62034(618) 655-1580 Get Directions Write a Review

NPPES record last updated: November 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Louis Surgical Associates, Llc NPPES

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

ST. LOUIS SURGICAL ASSOCIATES, LLC (NPI 1093064057) is a healthcare organization registered as a periodontics in Glen Carbon, Illinois and active in the NPI registry since September 2012. The organization lists David Guilbeault, Owner, as its authorized official.

NPPES Registry Identity

NPI1093064057
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameST. LOUIS SURGICAL ASSOCIATES, LLC
Location Address24 GINGER CREEK PKWYGlen Carbon, IL 62034-3502
Mailing Address24 Ginger Creek PkwyGlen Carbon, IL 62034-3502
Phone(618) 655-1580
Organization SubpartNo
Authorized OfficialDavid GuilbeaultOwner · (618) 643-9523
Enumeration DateSeptember 6, 2012
Last NPPES UpdateNovember 30, 2015
✔ NPI 1093064057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in IL · 19025397
Definition
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.
24 GINGER CREEK PKWY, Glen Carbon, IL 62034
Open in Google Maps ↗

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 6

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

GINGER CREEK DENTAL LLC
Dentist (General Practice)
24 GINGER CREEK PKWY
GLEN CARBON, IL 62034
Madison County (618) 692-1110
WEST END FAMILY DENTAL
Dentist (General Practice)
24 GINGER CREEK PKWY
GLEN CARBON, IL 62034
Madison County (618) 692-1110
DR. RYAN HARRY SCHMIDLKOFER DMD
Dentist (General Practice)
24 GINGER CREEK PKWY
GLEN CARBON, IL 62034
Madison County (618) 692-1110
DAVID G. GUILBEAULT D.M.D.
Dentist (General Practice)
24 GINGER CREEK PKWY
GLEN CARBON, IL 62034
Madison County (618) 692-1110
DR. DUSTIN JAY SIMPSON DMD
Dentist
24 GINGER CREEK PKWY
GLEN CARBON, IL 62034
Madison County (618) 692-1110
DR. JILLIAN MARIE BRUCH
Dentist
24 GINGER CREEK PKWY
GLEN CARBON, IL 62034
Madison County (618) 692-1110

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 St. Louis Surgical Associates, LLC's NPI number?

The NPI number for St. Louis Surgical Associates, LLC is 1093064057. It was assigned to this organization in the NPPES registry on September 6, 2012.

Where is St. Louis Surgical Associates, LLC located?

St. Louis Surgical Associates, LLC is located at 24 Ginger Creek Pkwy, Glen Carbon, IL 62034. The listed phone number is (618) 655-1580.

What is St. Louis Surgical Associates, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for St. Louis Surgical Associates, LLC was last updated on November 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.