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CREVE COEUR PERIODONTICS, INC.
NPI 1174799415
Dentist - Periodontics in Creve Coeur, MO

Active since May 06, 2008
11709 OLD BALLAS RD, SUITE 206, CREVE COEUR, MO 63141(314) 567-3760(314) 567-3929 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Creve Coeur Periodontics, Inc. NPPES

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

CREVE COEUR PERIODONTICS, INC. (NPI 1174799415) is a healthcare organization registered as a periodontics in Creve Coeur, Missouri and active in the NPI registry since May 2008. The organization lists Marwan Assaf, Owner, as its authorized official.

NPPES Registry Identity

NPI1174799415
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCREVE COEUR PERIODONTICS, INC.
Location Address11709 OLD BALLAS RD, SUITE 206Creve Coeur, MO 63141-7029
Mailing Address11709 Old Ballas Rd, Suite 206Creve Coeur, MO 63141-7029 · (314) 567-3760 · Fax (314) 567-3929
Phone(314) 567-3760
Fax(314) 567-3929
Organization SubpartNo
Authorized OfficialMarwan AssafOwner · (314) 567-3760
Enumeration DateMay 6, 2008
✔ NPI 1174799415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MO · 14247
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
11709 OLD BALLAS RD, Creve Coeur, MO 63141
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. LARRY WILSON THOMAS D.D.S.
Dentist (Pediatric Dentistry)
11709 OLD BALLAS RD, STE 200
CREVE COEUR, MO 63141
St. Louis County (314) 872-8590
DR. JENNIFER A DELANEY MD
Internal Medicine
11709 OLD BALLAS RD
ST LOUIS, MO 63141
St. Louis County (314) 993-1200
DR. THOMAS V OLIVIER MD
Plastic Surgery
11709 OLD BALLAS RD, SUITE 201
CREVE COEUR, MO 63141
St. Louis County (314) 997-8828
DR. JARED VISSER DPM
Podiatrist (Foot & Ankle Surgery)
11709 OLD BALLAS RD, SUITE 201
CREVE COEUR, MO 63141
St. Louis County (314) 432-1903
CYNTHIA WEPPLER MPT
Physical Therapist
11709 OLD BALLAS RD, SUITE 205
SAINT LOUIS, MO 63141
St. Louis County (314) 991-0480
DR. RYAN LEE RADER D.M.D
Dentist
11709 OLD BALLAS RD, SUITE 206
CREVE COEUR, MO 63141
St. Louis County (314) 567-3760
RYAN RADER ENTERPRISES DMD LLC
Dentist (Periodontics)
11709 OLD BALLAS RD, STE 206
CREVE COEUR, MO 63141
St. Louis County (314) 567-3760
DR. HARRY JOHN VISSER DPM
Podiatrist (Foot & Ankle Surgery)
11709 OLD BALLAS RD, SUITE 201
CREVE COEUR, MO 63141
St. Louis County (314) 432-1903

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 Creve Coeur Periodontics, Inc.'s NPI number?

The NPI number for Creve Coeur Periodontics, Inc. is 1174799415. It was assigned to this organization in the NPPES registry on May 6, 2008.

Where is Creve Coeur Periodontics, Inc. located?

Creve Coeur Periodontics, Inc. is located at 11709 Old Ballas Rd Suite 206, Creve Coeur, MO 63141. The listed phone number is (314) 567-3760.

What is Creve Coeur Periodontics, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Creve Coeur Periodontics, Inc. was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.