1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Dentist
  6. NPI Profile

ABIGAIL DIANE EDWARDS DDS
NPI 1629863188
Dentist in Saint Louis, MO

Active since April 14, 2025PECOS Enrolled
621 S NEW BALLAS RD STE 10, SAINT LOUIS, MO 63141(314) 251-5775(314) 251-5776 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abigail Diane Edwards Dds NPPES

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

ABIGAIL DIANE EDWARDS DDS (NPI 1629863188) is an individual dentist in Saint Louis, Missouri, licensed in Missouri (2025024663) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629863188
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameABIGAIL DIANE EDWARDSCredential: DDS
Location Address621 S NEW BALLAS RD STE 10Saint Louis, MO 63141-8232
Mailing Address621 S New Ballas Rd Ste 10Saint Louis, MO 63141-8232 · (314) 251-5775 · Fax (314) 251-5776
Phone(314) 251-5775
Fax(314) 251-5776
Sole ProprietorYes
Enumeration DateApril 14, 2025
Last NPPES UpdateMay 27, 2026
NPPES CertifiedMay 27, 2026
✔ NPI 1629863188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2025024663
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.
621 S NEW BALLAS RD STE 10, Saint Louis, MO 63141
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abigail Diane Edwards Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

SHUKA MOSHIRI D.M.D.
Dentist (General Practice)
621 S NEW BALLAS RD STE 10
SAINT LOUIS, MO 63141
St. Louis County (314) 251-5775
DR. HEBA ANN SARHAN DMD
Dentist
621 S NEW BALLAS RD STE 10
SAINT LOUIS, MO 63141
St. Louis County (314) 251-5775
CHRISTOPHER KEITH VONSCIO DDS
Dentist (General Practice)
621 S NEW BALLAS RD STE 10
SAINT LOUIS, MO 63141
St. Louis County (314) 251-5775
SHAY JAHEN MERRITTE DDS
Dentist (General Practice)
621 S NEW BALLAS RD STE 10
SAINT LOUIS, MO 63141
St. Louis County (314) 251-5775
CHRISTINA ELIZABETH LINDBERG
Dentist
621 S NEW BALLAS RD STE 10
SAINT LOUIS, MO 63141
St. Louis County (314) 251-5775
KISHAN H PATEL
Dentist
621 S NEW BALLAS RD STE 10
SAINT LOUIS, MO 63141
St. Louis County (314) 251-5775
ROXANNA MARIE MASSO MALDONADO
Student in an Organized Health Care Education/Training Program
621 S NEW BALLAS RD STE 10
SAINT LOUIS, MO 63141
St. Louis County (314) 251-5775

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 Abigail Edwards's NPI number?

The NPI number for Abigail Edwards is 1629863188. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Where is Abigail Edwards located?

Abigail Edwards practices at 621 S New Ballas Rd Ste 10, Saint Louis, MO 63141. The listed phone number is (314) 251-5775.

What is Abigail Edwards's specialty?

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

Is Abigail Edwards enrolled in Medicare?

Yes. Abigail Edwards is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Abigail Edwards was last updated on May 27, 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.