EDP OF MISSOURI PC
NPI 1457867590
Clinic/Center - Dental in Creve Coeur, MO

Active since December 27, 2017
677 N NEW BALLAS RD STE 207, CREVE COEUR, MO 63141(314) 569-3141 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 20, 2021, Sep 14, 2021, Sep 16, 2019 and 2 more (5 updates tracked since 2017).

About Edp Of Missouri Pc NPPES

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

EDP OF MISSOURI PC (NPI 1457867590) is a healthcare organization registered as a dental in Creve Coeur, Missouri and active in the NPI registry since December 2017. The organization maintains 10 additional practice locations and lists Melissa Garibay, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1457867590
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEDP OF MISSOURI PC
Location Address677 N NEW BALLAS RD STE 207Creve Coeur, MO 63141-6732
Mailing Address141 W Jackson Blvd Ste 210Chicago, IL 60604-3048 · (312) 937-3619
Organization SubpartNo
Authorized OfficialMelissa GaribayCredentialing Manager · (312) 736-8963
Enumeration DateDecember 27, 2017
Last NPPES UpdateSeptember 20, 20215 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2021
NPI 1457867590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
677 N NEW BALLAS RD STE 207, Creve Coeur, MO 63141

Secondary Practice Locations 10

Location 1201 W Smith DrStockton, MO 65785-7620 · Phone (417) 267-5871
Location 2805 Broadway StLaMar, MO 64759-1224 · Phone (417) 682-5871
Location 32300 Hwy 94 S Outer RdSaint Charles, MO 63303-8301 · Phone (636) 928-8400
Location 44113 Union RdSaint Louis, MO 63129-1064 · Phone (314) 487-0200
Location 512147 Natural Bridge RdBridgeton, MO 63044-2018 · Phone (314) 739-3700
Location 6614 S Florissant RdSaint Louis, MO 63135-2948 · Phone (314) 522-6300
Location 7733 Oakwood DrFenton, MO 63026-3535 · Phone (636) 349-1070
Location 82820 LeMay Ferry RdSaint Louis, MO 63125-3918 · Phone (314) 487-0799
Location 94125 Mexico RdSaint Peters, MO 63376-6410 · Phone (636) 447-4080
Location 10141 W Jackson Blvd Ste 210Chicago, IL 60604-3048 · Phone (312) 800-1270

Accepted Insurance

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 Edp Of Missouri PC's NPI number?

The NPI number for Edp Of Missouri PC is 1457867590. It was assigned to this organization in the NPPES registry on December 27, 2017.

Where is Edp Of Missouri PC located?

Edp Of Missouri PC is located at 677 N New Ballas Rd Ste 207, Creve Coeur, MO 63141. The listed phone number is (314) 569-3141.

What is Edp Of Missouri PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Edp Of Missouri PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Edp Of Missouri PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edp Of Missouri PC was last updated on September 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.