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CARDINAL GLENNON PEDIATRIC DENTAL SPECIALTIES AT SAINT LOUIS UNIV
NPI 1104377431
Clinic/Center - Dental in Saint Louis, MO

Active since October 21, 2016CLIA Certified · 4 labs
3320 RUTGER ST, SAINT LOUIS, MO 63104(314) 977-7336(314) 977-8617 Get Directions Write a Review

NPPES record last updated: October 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cardinal Glennon Pediatric Dental Specialties At Saint Louis Univ NPPES

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

CARDINAL GLENNON PEDIATRIC DENTAL SPECIALTIES AT SAINT LOUIS UNIV (NPI 1104377431) is a healthcare organization registered as a dental in Saint Louis, Missouri and active in the NPI registry since October 2016. The organization holds 4 active CLIA laboratory certificates and lists Daniel C Stoeckel, Program Director-pediatric Dentistr, as its authorized official.

NPPES Registry Identity

NPI1104377431
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSAINT LOUIS UNIVERSITY
Location Address3320 RUTGER STSaint Louis, MO 63104-1122
Mailing Address3320 Rutger StSaint Louis, MO 63104-1122 · (314) 977-7336 · Fax (314) 977-8617
Phone(314) 977-7336
Fax(314) 977-8617
Organization SubpartNo
Authorized OfficialDaniel C StoeckelProgram Director-pediatric Dentistr · (314) 977-8517
Enumeration DateOctober 21, 2016
✔ NPI 1104377431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MO · 2000174326
3320 RUTGER ST, Saint Louis, MO 63104
Open in Google Maps ↗

Other Names 1

Doing Business AsCardinal Glennon Pediatric Dental Specialties At Saint Louis Univ

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0970170

Saint Louis University Edward A Doisy Research Center · Saint Louis, MO
Active · expires Feb 3, 2028
CLIA Number26D0970170
Laboratory TypeGi/Hepatology Clinical Re
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorBrent Tetri
Laboratory Phone(314) 577-8754
Laboratory LocationSaint Louis University Edward A Doisy Research Center1205 Carr Lane Avenue, 2nd Floor, Saint Louis, MO 63104
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 26D2022337

Saint Louis University Center For Vaccine Development Laboratory · Saint Louis, MO
Active · expires Nov 8, 2027
CLIA Number26D2022337
Laboratory TypeIndependent
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorDaniel F. Hoft
Laboratory Phone(314) 977-9033
Laboratory LocationSaint Louis University Center For Vaccine Development Laboratory1100 South Grand Boulevard, 8th Floor, Saint Louis, MO 63104
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 26D0705902

Saint Louis University · Saint Louis, MO
Active · expires Nov 27, 2026
CLIA Number26D0705902
Laboratory TypeIndependent
Certificate Effective DateNovember 28, 2024
Certificate Expiration DateNovember 27, 2026
Laboratory DirectorSharon Frey
Laboratory Phone(314) 977-9047
Laboratory LocationSaint Louis University1100 S Grand Blvd Doisy Research Center, 8th Fl (lab 851), Saint Louis, MO 63104
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2120788

Saint Louis University, Otolaryngology-Head & Neck Surgery · Saint Louis, MO
Active · expires Oct 24, 2026
CLIA Number26D2120788
Laboratory TypeAcademic Medical Practice
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorJennifer B. Brinkmeier
Laboratory Phone(314) 617-3956
Laboratory LocationSaint Louis University, Otolaryngology-Head & Neck Surgery1225 S Grand Ave, Saint Louis, MO 63104
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

ALLY MARIE GOURLEY
Dentist (Pediatric Dentistry)
3320 RUTGER ST
SAINT LOUIS, MO 63104
St. Louis City (314) 977-7336
ST. LOUIS UNIVERSITY
Clinic/Center (Dental)
3320 RUTGER ST
SAINT LOUIS, MO 63104
St. Louis City (314) 977-8363
DR. TREY HENSLER DDS
Dentist
3320 RUTGER ST
SAINT LOUIS, MO 63104
St. Louis City (314) 977-8600
AZADEH ESLAMI AMIN DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
3320 RUTGER ST
SAINT LOUIS, MO 63104
St. Louis City (314) 977-8363
DR. LINDSAY ANNE POWERS D.M.D.
Dentist
3320 RUTGER ST
SAINT LOUIS, MO 63104
St. Louis City (314) 977-8381
DR. AVRUM GOLDBERG DDS
Student in an Organized Health Care Education/Training Program
3320 RUTGER ST
SAINT LOUIS, MO 63104
St. Louis City (314) 977-8363
DR. LINDSAY KATHLEEN GORMAN D.M.D.
Dentist
3320 RUTGER ST
SAINT LOUIS, MO 63104
St. Louis City (314) 977-8363
ANDREW MARTENS DMD
Dentist (Endodontics)
3320 RUTGER ST
SAINT LOUIS, MO 63104
St. Louis City (309) 507-2877

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 Saint Louis University's NPI number?

The NPI number for Saint Louis University is 1104377431. It was assigned to this organization in the NPPES registry on October 21, 2016. The provider is doing business as Cardinal Glennon Pediatric Dental Specialties At Saint Louis Univ.

Where is Saint Louis University located?

Saint Louis University is located at 3320 Rutger St, Saint Louis, MO 63104. The listed phone number is (314) 977-7336.

What is Saint Louis University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Does Saint Louis University hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Saint Louis University was last updated on October 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.