CREVE COEUR PERIODONTICS
NPI 1255759197
Dentist - Periodontics in Creve Coeur, MO

Active since March 28, 2014
11709 OLD BALLAS RD, STE 206, CREVE COEUR, MO 63141(314) 567-3760(314) 567-3929 Get Directions Write a Review

NPPES record last updated: March 28, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Creve Coeur Periodontics NPPES

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

CREVE COEUR PERIODONTICS (NPI 1255759197) is a healthcare organization registered as a periodontics in Creve Coeur, Missouri and active in the NPI registry since March 2014. The organization lists Ryan Lee Rader, Owner, as its authorized official.

NPPES Registry Identity

NPI1255759197
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameRYAN RADER ENTERPRISES DMD LLC
Location Address11709 OLD BALLAS RD, STE 206Creve Coeur, MO 63141-7029
Mailing Address11709 Old Ballas Rd, Ste 206Creve Coeur, MO 63141-7029 · (314) 567-3760 · Fax (314) 567-3929
Fax(314) 567-3929
Organization SubpartNo
Authorized OfficialRyan Lee RaderOwner · (314) 567-3760
Enumeration DateMarch 28, 2014
NPI 1255759197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in MO · 2006016236
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

Other Names 1

Doing Business AsCreve Coeur Periodontics

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.

Dentist (Pediatric Dentistry)
11709 OLD BALLAS RD, STE 200
CREVE COEUR, MO 63141
Internal Medicine
11709 OLD BALLAS RD
ST LOUIS, MO 63141
Plastic Surgery
11709 OLD BALLAS RD, SUITE 201
CREVE COEUR, MO 63141
Dentist (Periodontics)
11709 OLD BALLAS RD, SUITE 206
CREVE COEUR, MO 63141
Podiatrist (Foot & Ankle Surgery)
11709 OLD BALLAS RD, SUITE 201
CREVE COEUR, MO 63141
Physical Therapist
11709 OLD BALLAS RD, SUITE 205
SAINT LOUIS, MO 63141
Dentist
11709 OLD BALLAS RD, SUITE 206
CREVE COEUR, MO 63141
Podiatrist (Foot & Ankle Surgery)
11709 OLD BALLAS RD, SUITE 201
CREVE COEUR, MO 63141

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 Ryan Rader Enterprises Dmd LLC's NPI number?

The NPI number for Ryan Rader Enterprises Dmd LLC is 1255759197. It was assigned to this organization in the NPPES registry on March 28, 2014. The provider is doing business as Creve Coeur Periodontics.

Where is Ryan Rader Enterprises Dmd LLC located?

Ryan Rader Enterprises Dmd LLC is located at 11709 Old Ballas Rd Ste 206, Creve Coeur, MO 63141. The listed phone number is (314) 567-3760.

What is Ryan Rader Enterprises Dmd LLC'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 Ryan Rader Enterprises Dmd LLC was last updated on March 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.