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DR. GAVIN SHIBLI TARAZI DMD
NPI 1740169630
Dentist - General Practice in Des Peres, MO

Active since August 27, 2025
11941 MANCHESTER RD, DES PERES, MO 63131(314) 501-8300 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gavin Shibli Tarazi Dmd NPPES

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

DR. GAVIN SHIBLI TARAZI DMD (NPI 1740169630) is an individual general practice provider in Des Peres, Missouri, licensed in Missouri (2025036865) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1740169630
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GAVIN SHIBLI TARAZICredential: DMD
Location Address11941 MANCHESTER RDDes Peres, MO 63131-4502
Mailing Address303 E 3rd St Apt AAlton, IL 62002-2407 · (815) 382-7291
Phone(314) 501-8300
Sole ProprietorYes
Enumeration DateAugust 27, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1740169630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2025036865
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11941 MANCHESTER RD, Des Peres, MO 63131
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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 7

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

ANTHONY GERARD LEISURE JR.
Dentist (General Practice)
11941 MANCHESTER RD
DES PERES, MO 63131
St. Louis County (314) 501-8300
CCS SMILES LLC
Dentist (Pediatric Dentistry)
11941 MANCHESTER RD
DES PERES, MO 63131
St. Louis County (314) 501-8300
KELLY H LE OD
Optometrist
11941 MANCHESTER RD
DES PERES, MO 63131
St. Louis County (314) 884-2380
DR. NEIL FRANCIS DAVID O.D.
Optometrist
11941 MANCHESTER RD
SAINT LOUIS, MO 63131
St. Louis County (314) 884-2380
DR. CORBIN SALTHOUSE DDS
Dentist (Pediatric Dentistry)
11941 MANCHESTER RD
DES PERES, MO 63131
St. Louis County (314) 804-5437
DR. SARA ANNE DAY O.D.
Optometrist
11941 MANCHESTER RD
DES PERES, MO 63131
St. Louis County (314) 884-2380
DR. BETSAIDA ANAI DELGADO DMD
Dentist
11941 MANCHESTER RD
DES PERES, MO 63131
St. Louis County (314) 501-8300

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 Gavin Tarazi's NPI number?

The NPI number for Gavin Tarazi is 1740169630. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Where is Gavin Tarazi located?

Gavin Tarazi practices at 11941 Manchester Rd, Des Peres, MO 63131. The listed phone number is (314) 501-8300.

What is Gavin Tarazi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Gavin Tarazi was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.