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: July 19, 2026.

  • Organization
  • Dentist
  • Periodontics

About PERIODONTAL SPECIALISTS , PC

This page provides the complete NPI Profile along with additional information for Periodontal Specialists , Pc, a provider established in Saint Louis, Missouri operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1720290372 assigned on May 2007. The practitioner's primary taxonomy code is 1223P0300X with license number 015495 (MO). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Periodontal Specialists , Pc. The authorized official of this NPI record is Dr. Videsh Damodar Deshmukh D.d.s. (President)

NPI
1720290372 Verify this NPI
Provider Legal Name
DESHMUKH DDS, PC
Other Organization Name
PERIODONTAL SPECIALISTS , PC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1034 S BRENTWOOD BLVD SUITE #740 SAINT LOUIS, MO 63117
Location Phone
(314) 725-4221
Location Fax
(314) 725-4319
Mailing Address
1034 S BRENTWOOD BLVD SUITE #740 SAINT LOUIS, MO 63117
Mailing Phone
(314) 725-4221
Mailing Fax
(314) 725-4319
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2007
Last Update Date
08-28-2014
Code Navigator

A dentist like Periodontal Specialists , Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
License No.
015495
License State
MO
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. VIDESH DAMODAR DESHMUKH D.D.S.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(314) 725-4221

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
1034 S BRENTWOOD BLVD, SUITE 816
SAINT LOUIS, MO 63117
Legal Medicine
1034 S BRENTWOOD BLVD, STE.1160
RICHMOND HEIGHTS, MO 63117
Radiology (Diagnostic Radiology)
1034 S BRENTWOOD BLVD, SUITE 280
SAINT LOUIS, MO 63117
Radiology (Diagnostic Radiology)
1034 S BRENTWOOD BLVD, STE 280
SAINT LOUIS, MO 63117
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1034 S BRENTWOOD BLVD, SUITE 1120
SAINT LOUIS, MO 63117
Pharmacy (Community/Retail Pharmacy)
1034 S BRENTWOOD BLVD, STE 102
SAINT LOUIS, MO 63117
Psychiatry & Neurology (Psychiatry)
1034 S BRENTWOOD BLVD, SUITE 500
ST LOUIS, MO 63117
Internal Medicine
1034 S BRENTWOOD BLVD, STE 716
SAINT LOUIS, MO 63117
Family Medicine
1034 S BRENTWOOD BLVD, SUITE 505
SAINT LOUIS, MO 63117
Dermatology
1034 S BRENTWOOD BLVD, SUITE 600
SAINT LOUIS, MO 63117
Psychologist
1034 S BRENTWOOD BLVD, SUITE 1601
SAINT LOUIS, MO 63117
Family Medicine
1034 S BRENTWOOD BLVD, SUITE 505
SAINT LOUIS, MO 63117
Pharmacist
1034 S BRENTWOOD BLVD, SUITE 102
SAINT LOUIS, MO 63117
Pharmacist
1034 S BRENTWOOD BLVD, SUITE 102
SAINT LOUIS, MO 63117
Ophthalmology
1034 S BRENTWOOD BLVD, SUITE 1625
SAINT LOUIS, MO 63117
Internal Medicine
1034 S BRENTWOOD BLVD, SUITE 660
RICHMOND HEIGHTS, MO 63117
Social Worker (Clinical)
1034 S BRENTWOOD BLVD, SUITE 1200
SAINT LOUIS, MO 63117
Oral & Maxillofacial Surgery
1034 S BRENTWOOD BLVD, SUITE 1010
SAINT LOUIS, MO 63117
Clinic/Center
1034 S BRENTWOOD BLVD, SUITE 111
SAINT LOUIS, MO 63117
Community/Behavioral Health
1034 S BRENTWOOD BLVD, SUITE 694
SAINT LOUIS, MO 63117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720290372, enumerated as an "organization" on May 04, 2007.

The provider is located at 1034 S BRENTWOOD BLVD SUITE #740 SAINT LOUIS, MO 63117 and the phone number is (314) 725-4221.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.