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PRESTIGE DENTAL CARE, LLC
NPI 1174618045
Dentist - General Practice in Saint Louis, MO

Active since October 04, 2006
2915 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144(314) 962-6622(314) 961-2288 Get Directions Write a Review

NPPES record last updated: October 11, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prestige Dental Care, Llc NPPES

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

PRESTIGE DENTAL CARE, LLC (NPI 1174618045) is a healthcare organization registered as a general practice in Saint Louis, Missouri and active in the NPI registry since October 2006. The organization lists Srdjan Ilic-siljak, Dentist, as its authorized official.

NPPES Registry Identity

NPI1174618045
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRESTIGE DENTAL CARE, LLC
Location Address2915 S BRENTWOOD BLVDSaint Louis, MO 63144-2713
Mailing Address2915 S Brentwood BlvdSaint Louis, MO 63144-2713 · (314) 962-6622 · Fax (314) 961-2288
Phone(314) 962-6622
Fax(314) 961-2288
Organization SubpartNo
Authorized OfficialSrdjan Ilic-siljakDentist · (314) 962-6622
Enumeration DateOctober 4, 2006
Last NPPES UpdateOctober 11, 2011
✔ NPI 1174618045 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 · 013556
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.
2915 S BRENTWOOD BLVD, Saint Louis, MO 63144
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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. SRDJAN ILIC-SILJAK DMD
Dentist (General Practice)
2915 S BRENTWOOD BLVD
BRENTWOOD, MO 63144
St. Louis County (314) 962-6622
DR. KEVIN E. GROTH DMD
Dentist (General Practice)
2915 S BRENTWOOD BLVD
SAINT LOUIS, MO 63144
St. Louis County (314) 962-6622

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 Prestige Dental Care, LLC's NPI number?

The NPI number for Prestige Dental Care, LLC is 1174618045. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Prestige Dental Care, LLC located?

Prestige Dental Care, LLC is located at 2915 S Brentwood Blvd, Saint Louis, MO 63144. The listed phone number is (314) 962-6622.

What is Prestige Dental Care, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Prestige Dental Care, LLC was last updated on October 11, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.