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MDP OF MISSOURI LLC
NPI 1356202378
Dentist - General Practice in Hazelwood, MO

Active since November 19, 2025
811 HAZELWEST DR, HAZELWOOD, MO 63042(314) 731-7555 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 10, 2026, Nov 20, 2025 (2 updates tracked since 2025).

About Mdp Of Missouri Llc NPPES

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

MDP OF MISSOURI LLC (NPI 1356202378) is a healthcare organization registered as a general practice in Hazelwood, Missouri and active in the NPI registry since November 2025. The organization maintains 5 additional practice locations and lists Jeffrey Reibel, Cfo, as its authorized official.

NPPES Registry Identity

NPI1356202378
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMDP OF MISSOURI LLC
Location Address811 HAZELWEST DRHazelwood, MO 63042-1749
Mailing AddressPo Box 437169Louisville, KY 40253-7169
Phone(314) 731-7555
Organization SubpartNo
Authorized OfficialJeffrey ReibelCfo · (502) 254-8500
Enumeration DateNovember 19, 2025
Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1356202378 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.
811 HAZELWEST DR, Hazelwood, MO 63042
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Secondary Practice Locations 5

Location 19804 Manchester RdSt. Louis, MO 63119-1252 · Phone (314) 968-0550
Location 22380 N Truman BlvdCrystal City, MO 63019-1037 · Phone (636) 937-9193
Location 34337 Butler Hill Rd Ste GSaint Louis, MO 63128-3735 · Phone (314) 892-2000
Location 4517 Warren County CtrWarrenton, MO 63383-3015 · Phone (636) 377-2120
Location 53016 N Kentwood AveSpringfield, MO 65803-4414 · Phone (417) 833-1474

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 4

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

DR. MONROE MITCHELL GINSBURG DMD
Dentist (General Practice)
811 HAZELWEST DR
HAZELWOOD, MO 63042
St. Louis County (314) 731-7555
DR. JORDAN BRUNS DMD
Dentist (General Practice)
811 HAZELWEST DR
HAZELWOOD, MO 63042
St. Louis County (314) 731-7555
NIKODEM DENTAL HOLDINGS, INC.
Clinic/Center (Dental)
811 HAZELWEST DR
HAZELWOOD, MO 63042
St. Louis County (314) 731-7555
NIKODEM DENTAL CARE
Clinic/Center (Dental)
811 HAZELWEST DR
HAZELWOOD, MO 63042
St. Louis County (314) 731-7555

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 Mdp Of Missouri LLC's NPI number?

The NPI number for Mdp Of Missouri LLC is 1356202378. It was assigned to this organization in the NPPES registry on November 19, 2025.

Where is Mdp Of Missouri LLC located?

Mdp Of Missouri LLC is located at 811 Hazelwest Dr, Hazelwood, MO 63042. The listed phone number is (314) 731-7555.

What is Mdp Of Missouri 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 Mdp Of Missouri LLC was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.