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SOUTH COUNTY FAMILY DENTAL, INC
NPI 1568036192
Dentist in Saint Louis, MO

Active since May 18, 2021
12660 LAMPLIGHTER SQUARE SHPG CTR STE G, SAINT LOUIS, MO 63128(314) 843-4040 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South County Family Dental, Inc NPPES

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

SOUTH COUNTY FAMILY DENTAL, INC (NPI 1568036192) is a healthcare organization registered as a dentist in Saint Louis, Missouri and active in the NPI registry since May 2021. The organization lists Carl Graves, Dds, as its authorized official.

NPPES Registry Identity

NPI1568036192
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSOUTH COUNTY FAMILY DENTAL, INC
Location Address12660 LAMPLIGHTER SQUARE SHPG CTR STE GSaint Louis, MO 63128-2761
Mailing Address12660 Lamplighter Square Shpg Ctr Ste GSaint Louis, MO 63128-2761 · (314) 843-4040
Phone(314) 843-4040
Organization SubpartNo
Authorized OfficialCarl GravesDds · (850) 712-2307
Enumeration DateMay 18, 2021
NPPES CertifiedMay 18, 2021
✔ NPI 1568036192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
12660 LAMPLIGHTER SQUARE SHPG CTR STE G, Saint Louis, MO 63128
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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

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 South County Family Dental, Inc's NPI number?

The NPI number for South County Family Dental, Inc is 1568036192. It was assigned to this organization in the NPPES registry on May 18, 2021.

Where is South County Family Dental, Inc located?

South County Family Dental, Inc is located at 12660 Lamplighter Square Shpg Ctr Ste G, Saint Louis, MO 63128. The listed phone number is (314) 843-4040.

What is South County Family Dental, Inc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for South County Family Dental, Inc was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.