PERIODONTAL SPECIALISTS , PC
NPI 1720290372
Dentist - Periodontics in Saint Louis, MO

Active since May 04, 2007
1034 S BRENTWOOD BLVD, SUITE #740, SAINT LOUIS, MO 63117(314) 725-4221(314) 725-4319 Get Directions Write a Review

NPPES record last updated: August 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Periodontal Specialists , Pc NPPES

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

PERIODONTAL SPECIALISTS , PC (NPI 1720290372) is a healthcare organization registered as a periodontics in Saint Louis, Missouri and active in the NPI registry since May 2007. The organization lists Videsh Damodar Deshmukh, President, as its authorized official.

NPPES Registry Identity

NPI1720290372
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameDESHMUKH DDS, PC
Location Address1034 S BRENTWOOD BLVD, SUITE #740Saint Louis, MO 63117-1223
Mailing Address1034 S Brentwood Blvd, Suite #740Saint Louis, MO 63117-1223 · (314) 725-4221 · Fax (314) 725-4319
Fax(314) 725-4319
Organization SubpartNo
Authorized OfficialVidesh Damodar DeshmukhPresident · (314) 725-4221
Enumeration DateMay 4, 2007
Last NPPES UpdateAugust 28, 2014
NPI 1720290372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in MO · 015495
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1034 S BRENTWOOD BLVD, Saint Louis, MO 63117

Other Names 1

Doing Business AsPeriodontal Specialists , Pc

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 20

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

Social Worker (Clinical)
1034 S BRENTWOOD BLVD
SAINT LOUIS, MO 63117
Physician Assistant (Medical)
1034 S BRENTWOOD BLVD, SUITE 1120
SAINT LOUIS, MO 63117
Clinical Nurse Specialist (Medical-Surgical)
1034 S BRENTWOOD BLVD
SAINT LOUIS, MO 63117
Specialist
1034 S BRENTWOOD BLVD, SUITE 516
SAINT LOUIS, MO 63117
Psychiatry & Neurology (Neurology)
1034 S BRENTWOOD BLVD, SUITE 660
SAINT LOUIS, MO 63117
Pharmacist
1034 S BRENTWOOD BLVD, SUITE 102
SAINT LOUIS, MO 63117
Obstetrics & Gynecology
1034 S BRENTWOOD BLVD, SUITE 946
SAINT LOUIS, MO 63117
Counselor (Professional)
1034 S BRENTWOOD BLVD
RICHMOND HEIGHTS, MO 63117

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 Deshmukh Dds, PC's NPI number?

The NPI number for Deshmukh Dds, PC is 1720290372. It was assigned to this organization in the NPPES registry on May 4, 2007. The provider is doing business as Periodontal Specialists , PC.

Where is Deshmukh Dds, PC located?

Deshmukh Dds, PC is located at 1034 S Brentwood Blvd Suite #740, Saint Louis, MO 63117. The listed phone number is (314) 725-4221.

What is Deshmukh Dds, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Deshmukh Dds, PC was last updated on August 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.