1. Home
  2. Directory
  3. Missouri
  4. O Fallon
  5. Dentist
  6. NPI Profile

BROOKSIDE FAMILY DENTISTRY
NPI 1790276764
Dentist in O Fallon, MO

Active since May 24, 2018
31 OFALLON SQ, O FALLON, MO 63366(636) 240-1750(636) 389-5442 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brookside Family Dentistry NPPES

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

BROOKSIDE FAMILY DENTISTRY (NPI 1790276764) is a healthcare organization registered as a dentist in O Fallon, Missouri and active in the NPI registry since May 2018. The organization lists Stacy M Martin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1790276764
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameGREIF RUVINOV DENTAL CARE, LLC
Location Address31 OFALLON SQO Fallon, MO 63366-3034
Mailing Address31 Ofallon SqO Fallon, MO 63366-3034 · (636) 240-1750 · Fax (636) 389-5442
Phone(636) 240-1750
Fax(636) 389-5442
Organization SubpartNo
Authorized OfficialStacy M MartinOffice Manager · (636) 240-1750
Enumeration DateMay 24, 2018
✔ NPI 1790276764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
31 OFALLON SQ, O Fallon, MO 63366
Open in Google Maps ↗

Other Names 1

Doing Business AsBrookside Family Dentistry

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 3

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

WINEMILLER FAMILY DENTISTRY, LLC
Clinic/Center (Dental)
31 OFALLON SQ
O FALLON, MO 63366
St. Charles County (636) 240-1750
PADEN JOHN FAMILY DENTAL LLC
Clinic/Center (Dental)
31 OFALLON SQ
O FALLON, MO 63366
St. Charles County (636) 240-1750
PADEN JOHN DMD
Dentist (General Practice)
31 OFALLON SQ
O FALLON, MO 63366
St. Charles County (636) 240-1750

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 Greif Ruvinov Dental Care, LLC's NPI number?

The NPI number for Greif Ruvinov Dental Care, LLC is 1790276764. It was assigned to this organization in the NPPES registry on May 24, 2018. The provider is doing business as Brookside Family Dentistry.

Where is Greif Ruvinov Dental Care, LLC located?

Greif Ruvinov Dental Care, LLC is located at 31 Ofallon Sq, O Fallon, MO 63366. The listed phone number is (636) 240-1750.

What is Greif Ruvinov Dental Care, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Greif Ruvinov Dental Care, LLC was last updated on May 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.