PROVIDE DENTAL
NPI 1124990601
Clinic/Center - Dental in Chesterfield, MO

Active since September 23, 2025
13371 OLIVE BLVD # 3108, CHESTERFIELD, MO 63017(314) 878-5544 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Provide Dental NPPES

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

PROVIDE DENTAL (NPI 1124990601), doing business as Provide Dental- Chesterfield, is a healthcare organization registered as a dental in Chesterfield, Missouri and active in the NPI registry since September 2025. The organization lists Philip Son, Dentist, as its authorized official.

NPPES Registry Identity

NPI1124990601
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePROVIDE DENTAL
Location Address13371 OLIVE BLVD # 3108Chesterfield, MO 63017-3108
Mailing Address13371 Olive Blvd # 3108Chesterfield, MO 63017-3108 · (314) 878-5544
Organization SubpartYes
Authorized OfficialPhilip SonDentist · (323) 787-9397
Enumeration DateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
NPI 1124990601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
13371 OLIVE BLVD # 3108, Chesterfield, MO 63017

Other Names 1

Doing Business AsProvide Dental- Chesterfield

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 Provide Dental's NPI number?

The NPI number for Provide Dental is 1124990601. It was assigned to this organization in the NPPES registry on September 23, 2025. The provider is doing business as Provide Dental- Chesterfield.

Where is Provide Dental located?

Provide Dental is located at 13371 Olive Blvd # 3108, Chesterfield, MO 63017. The listed phone number is (314) 878-5544.

What is Provide Dental's specialty?

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

When was this NPI record last updated?

The NPPES record for Provide Dental was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.