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NEW CREATION DENTAL CARE
NPI 1194322990
Dentist - General Practice in Lake St Louis, MO

Active since October 05, 2020
191 CIVIC CENTER DR, LAKE ST LOUIS, MO 63367(636) 561-6400 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2021, Oct 5, 2020 (2 updates tracked since 2020).

About New Creation Dental Care NPPES

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

NEW CREATION DENTAL CARE (NPI 1194322990) is a healthcare organization registered as a general practice in Lake St Louis, Missouri and active in the NPI registry since October 2020. The organization lists Matthew Boscia, President, as its authorized official.

NPPES Registry Identity

NPI1194322990
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWILDHORSE DENTAL CARE, LLC
Location Address191 CIVIC CENTER DRLake St Louis, MO 63367-3027
Mailing Address191 Civic Center DrLake St Louis, MO 63367-3027 · (636) 561-6400
Phone(636) 561-6400
Organization SubpartNo
Authorized OfficialMatthew BosciaPresident · (636) 561-6400
Enumeration DateOctober 5, 2020
Last NPPES UpdateJuly 13, 20212 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
✔ NPI 1194322990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
191 CIVIC CENTER DR, Lake St Louis, MO 63367
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Other Names 1

Doing Business AsNew Creation Dental Care

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

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 Wildhorse Dental Care, LLC's NPI number?

The NPI number for Wildhorse Dental Care, LLC is 1194322990. It was assigned to this organization in the NPPES registry on October 5, 2020. The provider is doing business as New Creation Dental Care.

Where is Wildhorse Dental Care, LLC located?

Wildhorse Dental Care, LLC is located at 191 Civic Center Dr, Lake St Louis, MO 63367. The listed phone number is (636) 561-6400.

What is Wildhorse 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 Wildhorse Dental Care, LLC was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.