MISSOURI CENTER FOR ORAL SURGERY AND IMPLANTS LLC
NPI 1447962915
Dentist - Oral and Maxillofacial Surgery in Wentzville, MO

Q: What is Missouri Center For Oral Surgery And Implants LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since December 15, 2022

853 MEDICAL DR STE 115, WENTZVILLE, MO 63385(636) 887-3100(636) 887-3102 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 27, 2023, Dec 15, 2022 (2 updates tracked since 2022).

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About Missouri Center For Oral Surgery And Implants Llc NPPES

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

MISSOURI CENTER FOR ORAL SURGERY AND IMPLANTS LLC (NPI 1447962915), doing business as First Capitol Oral And Maxillofacial Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in Wentzville, Missouri and active in the NPI registry since December 2022. The organization maintains a secondary practice location in Saint Peters and lists Kelsey Caitlin Smith, Partner, as its authorized official.

NPPES Registry Identity

NPI1447962915

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameMISSOURI CENTER FOR ORAL SURGERY AND IMPLANTS LLC

Location Address853 MEDICAL DR STE 115Wentzville, MO 63385-3825

Mailing Address1 Mid Rivers Mall Dr Ste 310Saint Peters, MO 63376-4323 · (636) 928-7217 · Fax (636) 397-0223

Phone(636) 887-3100

Fax(636) 887-3102

Organization SubpartYesParent: Kenneth Clark Priddy, Dds, Md, Pc

Authorized OfficialKelsey Caitlin SmithPartner · (314) 956-5651

Enumeration DateDecember 15, 2022

Last NPPES UpdateMarch 27, 20232 updates tracked since enumeration

NPPES CertifiedMarch 27, 2023

✔ NPI 1447962915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

853 MEDICAL DR STE 115, Wentzville, MO 63385

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Other Names 3

Doing Business AsFirst Capitol Oral And Maxillofacial Surgery

Doing Business AsOral And Maxillofacial Surgery At The Crossing

Other NameKelsey Smith, Dds, Md, Pc

Secondary Practice Location 1

Location 11 Mid Rivers Mall Dr Ste 310Saint Peters, MO 63376-4323 · Phone (636) 928-7217 · Fax (636) 397-0223

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. KENNETH CLARK PRIDDY DDS

Dentist (Oral and Maxillofacial Surgery)

853 MEDICAL DR STE 115
WENTZVILLE, MO 63385

St. Charles County (636) 887-3100

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 Missouri Center For Oral Surgery And Implants LLC's NPI number?

The NPI number for Missouri Center For Oral Surgery And Implants LLC is 1447962915. It was assigned to this organization in the NPPES registry on December 15, 2022. The provider is doing business as First Capitol Oral and Maxillofacial Surgery and Oral and Maxillofacial Surgery at the Crossing. The provider is also known as Kelsey Smith, DDS, MD, PC.

Where is Missouri Center For Oral Surgery And Implants LLC located?

Missouri Center For Oral Surgery And Implants LLC is located at 853 Medical Dr Ste 115, Wentzville, MO 63385. The listed phone number is (636) 887-3100.

What is Missouri Center For Oral Surgery And Implants LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Missouri Center For Oral Surgery And Implants LLC was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.