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MR. MAZEN Y SULTAN DMD
NPI 1093109571
Dentist in St. Peters, MO

Active since March 23, 2015
4133 MEXICO ROAD, ST. PETERS, MO 63376(636) 447-6060(636) 447-2428 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 13, 2021, Feb 3, 2016 (2 updates tracked since 2016).

About Mr. Mazen Y Sultan Dmd NPPES

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

MR. MAZEN Y SULTAN DMD (NPI 1093109571) is an individual dentist in St. Peters, Missouri, licensed in Kentucky (9620) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1093109571
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. MAZEN Y SULTANCredential: DMD
Location Address4133 MEXICO ROADSt. Peters, MO 63376
Mailing Address4133 Mexico RoadSt. Peters, MO 63376 · (636) 447-6060 · Fax (636) 447-2428
Phone(636) 447-6060
Fax(636) 447-2428
Sole ProprietorNo
Enumeration DateMarch 23, 2015
Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration
NPPES CertifiedDecember 13, 2021
✔ NPI 1093109571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in KY · 9620
Definition

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.

4133 MEXICO ROAD, St. Peters, MO 63376
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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 Mazen Sultan's NPI number?

The NPI number for Mazen Sultan is 1093109571. It was assigned to this individual provider in the NPPES registry on March 23, 2015.

Where is Mazen Sultan located?

Mazen Sultan practices at 4133 Mexico Road, St. Peters, MO 63376. The listed phone number is (636) 447-6060.

What is Mazen Sultan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Mazen Sultan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 16 other insurers list Mazen Sultan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mazen Sultan was last updated on December 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.