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ADVANCED DENTISTRY OF O'FALLON LLC
NPI 1750176103
Dentist - General Practice in O Fallon, MO

Active since April 14, 2025
2990 HIGHWAY K, O FALLON, MO 63368(636) 978-7816 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Dentistry Of O'fallon Llc NPPES

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

ADVANCED DENTISTRY OF O'FALLON LLC (NPI 1750176103), doing business as Advanced Dentistry Of O'fallon, is a healthcare organization registered as a general practice in O Fallon, Missouri and active in the NPI registry since April 2025. The organization lists Stacey Barnes, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1750176103
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameADVANCED DENTISTRY OF O'FALLON LLC
Location Address2990 HIGHWAY KO Fallon, MO 63368-7861
Mailing Address2990 Highway KO Fallon, MO 63368-7861 · (636) 978-7816
Phone(636) 978-7816
Organization SubpartNo
Authorized OfficialStacey BarnesPractice Manager · (636) 978-7816
Enumeration DateApril 14, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1750176103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2990 HIGHWAY K, O Fallon, MO 63368
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Other Names 1

Doing Business AsAdvanced Dentistry Of O'fallon

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

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

DR. BRENT DEE BANKHEAD DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
2990 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 978-4484

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 Advanced Dentistry Of O'fallon LLC's NPI number?

The NPI number for Advanced Dentistry Of O'fallon LLC is 1750176103. It was assigned to this organization in the NPPES registry on April 14, 2025. The provider is doing business as Advanced Dentistry of O'Fallon.

Where is Advanced Dentistry Of O'fallon LLC located?

Advanced Dentistry Of O'fallon LLC is located at 2990 Highway K, O Fallon, MO 63368. The listed phone number is (636) 978-7816.

What is Advanced Dentistry Of O'fallon LLC'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 Advanced Dentistry Of O'fallon LLC was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.