KEVIN D. BURGDORF DDS LLC
NPI 1689042467
Dentist in Bridgeton, MO

Q: What is Kevin D. Burgdorf Dds LLC's NPI number?

The NPI number for Kevin D. Burgdorf Dds LLC is 1689042467. It was assigned to this organization in the NPPES registry on September 10, 2015.

Q: What is Kevin D. Burgdorf Dds LLC's specialty?

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

Active since September 10, 2015

12266 DEPAUL DRIVE, SUITE 325, BRIDGETON, MO 63044(314) 291-9000(314) 291-0590 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kevin D. Burgdorf Dds Llc NPPES

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

KEVIN D. BURGDORF DDS LLC (NPI 1689042467) is a healthcare organization registered as a dentist in Bridgeton, Missouri and active in the NPI registry since September 2015. The organization lists Kevin D Burgdorf, Owner, as its authorized official.

NPPES Registry Identity

NPI1689042467

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameKEVIN D. BURGDORF DDS LLC

Location Address12266 DEPAUL DRIVE, SUITE 325Bridgeton, MO 63044-2514

Mailing Address12266 Depaul Drive, Suite 325Bridgeton, MO 63044-2514 · (314) 291-9000 · Fax (314) 291-0590

Phone(314) 291-9000

Fax(314) 291-0590

Organization SubpartNo

Authorized OfficialKevin D BurgdorfOwner · (314) 291-9000

Enumeration DateSeptember 10, 2015

✔ NPI 1689042467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2009008266

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.

12266 DEPAUL DRIVE, Bridgeton, MO 63044

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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

Other Providers at the Same Location NPPES 17

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

TCP1, LLC

Pharmacy (Community/Retail Pharmacy)

12266 DEPAUL DRIVE, SUITE 105
BRIDGETON, MO 63044

St. Louis County (314) 344-7567

MRS. PATRICIA BOZZI PT, CHT

Specialist

12266 DEPAUL DRIVE, SUITE 115
BRIDGETON, MO 63044

St. Louis County (314) 209-7700

DR. JONATHAN DAVID DREW D.P.T.

Physical Therapist

12266 DEPAUL DRIVE, SUITE 115
BRIDGETON, MO 63044

St. Louis County (314) 209-7700

SSM DEPAUL MEDICAL GROUP

Durable Medical Equipment & Medical Supplies

12266 DEPAUL DRIVE, SUITE 110
BRIDGETON, MO 63044

St. Louis County (314) 291-7900

MAGGIE MILLER AGNP

Nurse Practitioner (Adult Health)

12266 DEPAUL DRIVE, SUITE 205
BRIDGETON, MO 63044

St. Louis County (314) 218-2300

ARUN VENKAT M.D.

Internal Medicine (Cardiovascular Disease)

12266 DEPAUL DRIVE, 205
BRIDGETON, MO 63044

St. Louis County (314) 218-2300

MEGAN JONES RD, LD

Dietitian, Registered

12266 DEPAUL DRIVE, SUITE 210
BRIDGETON, MO 63044

St. Louis County (314) 344-6800

PHYSICIANS SURGERY CENTER AT DEPAUL LLC

Clinic/Center (Ambulatory Surgical)

12266 DEPAUL DRIVE, SUITE 10
BRIDGETON, MO 63044

St. Louis County (314) 291-7500

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 Kevin D. Burgdorf Dds LLC's NPI number?

The NPI number for Kevin D. Burgdorf Dds LLC is 1689042467. It was assigned to this organization in the NPPES registry on September 10, 2015.

Where is Kevin D. Burgdorf Dds LLC located?

Kevin D. Burgdorf Dds LLC is located at 12266 Depaul Drive Suite 325, Bridgeton, MO 63044. The listed phone number is (314) 291-9000.

What is Kevin D. Burgdorf Dds LLC'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 Kevin D. Burgdorf Dds LLC was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.