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DR. MICHAEL FADDIS DDS
NPI 1114088036
Dentist - General Practice in Saint Louis, MO

Active since December 13, 2006
2440 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144(314) 962-6643(314) 962-2205 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael Faddis Dds NPPES

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

DR. MICHAEL FADDIS DDS (NPI 1114088036) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (013100) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1114088036
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL FADDISCredential: DDS
Location Address2440 S BRENTWOOD BLVDSaint Louis, MO 63144-2321
Mailing Address2440 S Brentwood BlvdSaint Louis, MO 63144-2321 · (314) 962-6643 · Fax (314) 962-2205
Phone(314) 962-6643
Fax(314) 962-2205
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114088036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 013100
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2440 S BRENTWOOD BLVD, Saint Louis, MO 63144
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Other Providers at the Same Location NPPES 5

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

SETH WASSON DMD
Dentist (General Practice)
2440 S BRENTWOOD BLVD
SAINT LOUIS, MO 63144
St. Louis County (314) 962-6643
DR. CHARLES EDWARD NIESEN II DMD
Dentist (General Practice)
2440 S BRENTWOOD BLVD
SAINT LOUIS, MO 63144
St. Louis County (314) 962-6643
DR. BRENTON PATRICK RUOPP DDS
Dentist
2440 S BRENTWOOD BLVD
BRENTWOOD, MO 63144
St. Louis County (314) 696-1544
CHARLES E. NIESEN II, DMD, MICHAEL J. FADDIS, DDS
Dentist (General Practice)
2440 S BRENTWOOD BLVD
SAINT LOUIS, MO 63144
St. Louis County (314) 962-6643
KENNETH NEAL BROSH DDS
Dentist
2440 S BRENTWOOD BLVD
BRENTWOOD, MO 63144
St. Louis County (314) 962-6643

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 Michael Faddis's NPI number?

The NPI number for Michael Faddis is 1114088036. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Michael Faddis located?

Michael Faddis practices at 2440 S Brentwood Blvd, Saint Louis, MO 63144. The listed phone number is (314) 962-6643.

What is Michael Faddis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Michael Faddis accept?

Health plans from Humana list Michael Faddis 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 Michael Faddis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.