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PROVIDE DENTAL
NPI 1760253694
Clinic/Center - Dental in Saint Louis, MO

Active since January 10, 2024
2211 OLIVE ST STE 100, SAINT LOUIS, MO 63103(314) 776-7100 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Provide Dental NPPES

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

PROVIDE DENTAL (NPI 1760253694) is a healthcare organization registered as a dental in Saint Louis, Missouri and active in the NPI registry since January 2024. The organization lists Philip Son, Owner/ General Dentist, as its authorized official.

NPPES Registry Identity

NPI1760253694
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePROVIDE DENTAL
Location Address2211 OLIVE ST STE 100Saint Louis, MO 63103-1502
Mailing Address2309 Barrett Place CtBallwin, MO 63021-7829 · (323) 787-9397
Phone(314) 776-7100
Organization SubpartNo
Authorized OfficialPhilip SonOwner/ General Dentist · (323) 787-9397
Enumeration DateJanuary 10, 2024
NPPES CertifiedJanuary 10, 2024
✔ NPI 1760253694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2211 OLIVE ST STE 100, Saint Louis, MO 63103
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Other Providers at the Same Location NPPES

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

JIN-HAO CHANG DMD
Dentist
2211 OLIVE ST STE 100
SAINT LOUIS, MO 63103
St. Louis City (314) 776-7100

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 Provide Dental's NPI number?

The NPI number for Provide Dental is 1760253694. It was assigned to this organization in the NPPES registry on January 10, 2024.

Where is Provide Dental located?

Provide Dental is located at 2211 Olive St Ste 100, Saint Louis, MO 63103. The listed phone number is (314) 776-7100.

What is Provide Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Provide Dental was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.