PEDAITRIC DENTAL AND ORTHODONTIC ASSOCIATES OF ST LOUIS
NPI 1780989061
Dentist - Pediatric Dentistry in Kirkwood, MO

Active since January 19, 2011
430 S CLAY AVE, KIRKWOOD, MO 63122(314) 965-7630 Get Directions Write a Review

NPPES record last updated: January 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pedaitric Dental And Orthodontic Associates Of St Louis NPPES

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

PEDAITRIC DENTAL AND ORTHODONTIC ASSOCIATES OF ST LOUIS (NPI 1780989061) is a healthcare organization registered as a pediatric dentistry in Kirkwood, Missouri and active in the NPI registry since January 2011. The organization lists Thomas Veraldi, Owner, as its authorized official.

NPPES Registry Identity

NPI1780989061
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDAITRIC DENTAL AND ORTHODONTIC ASSOCIATES OF ST LOUIS
Location Address430 S CLAY AVEKirkwood, MO 63122-5808
Mailing Address430 S Clay AveKirkwood, MO 63122-5808 · (314) 965-7630
Organization SubpartNo
Authorized OfficialThomas VeraldiOwner · (314) 965-7630
Enumeration DateJanuary 19, 2011
NPI 1780989061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in MO · 14227
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License 14227 (MO)
430 S CLAY AVE, Kirkwood, MO 63122

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Pedaitric Dental And Orthodontic Associates Of St Louis's NPI number?

The NPI number for Pedaitric Dental And Orthodontic Associates Of St Louis is 1780989061. It was assigned to this organization in the NPPES registry on January 19, 2011.

Where is Pedaitric Dental And Orthodontic Associates Of St Louis located?

Pedaitric Dental And Orthodontic Associates Of St Louis is located at 430 S Clay Ave, Kirkwood, MO 63122. The listed phone number is (314) 965-7630.

What is Pedaitric Dental And Orthodontic Associates Of St Louis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pedaitric Dental And Orthodontic Associates Of St Louis was last updated on January 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.