ST GEORGE FAMILY DENTAL
NPI 1336689660
Dentist - General Practice in Fulton, MO

Active since March 06, 2017
603 NICHOLS ST, FULTON, MO 65251(573) 642-6904(573) 642-7256 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St George Family Dental NPPES

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

ST GEORGE FAMILY DENTAL (NPI 1336689660) is a healthcare organization registered as a general practice in Fulton, Missouri and active in the NPI registry since March 2017. The organization lists Matthew St George, Owner, as its authorized official.

NPPES Registry Identity

NPI1336689660
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMATT ST GEORGE INC
Location Address603 NICHOLS STFulton, MO 65251-2650
Mailing Address603 Nichols StFulton, MO 65251-2650 · (573) 642-6904 · Fax (573) 642-7256
Fax(573) 642-7256
Organization SubpartNo
Authorized OfficialMatthew St GeorgeOwner · (573) 642-6904
Enumeration DateMarch 6, 2017
NPI 1336689660 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 · 2008014167
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.
603 NICHOLS ST, Fulton, MO 65251

Other Names 1

Doing Business AsSt George Family Dental

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 2

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

Dentist (General Practice)
603 NICHOLS ST
FULTON, MO 65251
Dentist (General Practice)
603 NICHOLS ST
FULTON, MO 65251

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 Matt St George Inc's NPI number?

The NPI number for Matt St George Inc is 1336689660. It was assigned to this organization in the NPPES registry on March 6, 2017. The provider is doing business as St George Family Dental.

Where is Matt St George Inc located?

Matt St George Inc is located at 603 Nichols St, Fulton, MO 65251. The listed phone number is (573) 642-6904.

What is Matt St George Inc'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 Matt St George Inc was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.