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MARK EIDELMAN DDS
NPI 1154468858
Dentist - General Practice in Saint Peters, MO

Active since January 31, 2007
300 MID RIVERS MALL DR, SAINT PETERS, MO 63376(636) 397-5883(636) 397-5887 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Eidelman Dds NPPES

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

MARK EIDELMAN DDS (NPI 1154468858) is an individual general practice provider in Saint Peters, Missouri, licensed in Missouri (11785) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1154468858
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMARK EIDELMANCredential: DDS
Location Address300 MID RIVERS MALL DRSaint Peters, MO 63376-1565
Mailing Address300 Mid Rivers Mall DrSaint Peters, MO 63376-1565 · (636) 397-5883 · Fax (636) 397-5887
Phone(636) 397-5883
Fax(636) 397-5887
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154468858 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 · 11785
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.
300 MID RIVERS MALL DR, Saint Peters, MO 63376
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. KATYE ERIN BUTZIRUS DDS
Dentist (General Practice)
300 MID RIVERS MALL DR
SAINT PETERS, MO 63376
St. Charles County (636) 397-5883
DAVID GUILBEAULT DMD MID RIVERS DENTAL GROUP
Dentist (General Practice)
300 MID RIVERS MALL DR
SAINT PETERS, MO 63376
St. Charles County (636) 937-5883

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 Mark Eidelman's NPI number?

The NPI number for Mark Eidelman is 1154468858. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Mark Eidelman located?

Mark Eidelman practices at 300 Mid Rivers Mall Dr, Saint Peters, MO 63376. The listed phone number is (636) 397-5883.

What is Mark Eidelman's specialty?

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

What insurance does Mark Eidelman accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mark Eidelman 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 Mark Eidelman 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.