CHESTERFIELD WOODLAKE DENTAL AND PROSTHODONTICS
NPI 1598357923
Dentist - Prosthodontics in Chesterfield, MO

Active since February 08, 2021
14377 WOODLAKE DR STE 206, CHESTERFIELD, MO 63017(314) 878-8880(314) 658-9940 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 19, 2023, Feb 8, 2021 (2 updates tracked since 2021).

About Chesterfield Woodlake Dental And Prosthodontics NPPES

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

CHESTERFIELD WOODLAKE DENTAL AND PROSTHODONTICS (NPI 1598357923) is a healthcare organization registered as a prosthodontics in Chesterfield, Missouri and active in the NPI registry since February 2021. The organization lists Paul Douglas Edgerley, Prosthodontist/dentist, as its authorized official.

NPPES Registry Identity

NPI1598357923
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameEDGERLEY DENTAL LLC
Location Address14377 WOODLAKE DR STE 206Chesterfield, MO 63017-5735
Mailing Address14377 Woodlake Dr Ste 206Chesterfield, MO 63017-5735 · (314) 878-8880
Fax(314) 658-9940
Organization SubpartNo
Authorized OfficialPaul Douglas EdgerleyProsthodontist/dentist · (314) 878-8880
Enumeration DateFebruary 8, 2021
Last NPPES UpdateJanuary 30, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2024
NPI 1598357923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Also ListedDentistTaxonomy 122300000X
14377 WOODLAKE DR STE 206, Chesterfield, MO 63017

Other Names 1

Doing Business AsChesterfield Woodlake Dental And Prosthodontics

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

Clinic/Center (Dental)
14377 WOODLAKE DR STE 206
CHESTERFIELD, MO 63017
Dentist (Prosthodontics)
14377 WOODLAKE DR STE 206
CHESTERFIELD, MO 63017

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 Edgerley Dental LLC's NPI number?

The NPI number for Edgerley Dental LLC is 1598357923. It was assigned to this organization in the NPPES registry on February 8, 2021. The provider is doing business as Chesterfield Woodlake Dental And Prosthodontics.

Where is Edgerley Dental LLC located?

Edgerley Dental LLC is located at 14377 Woodlake Dr Ste 206, Chesterfield, MO 63017. The listed phone number is (314) 878-8880.

What is Edgerley Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Edgerley Dental LLC was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.