1. Home
  2. Directory
  3. Missouri
  4. Lake St Louis
  5. Dentist
  6. NPI Profile

NEW CREATION DENTAL CARE LC
NPI 1801010467
Dentist - General Practice in Lake St Louis, MO

Active since April 12, 2007
15 LAKESIDE DR STE A, LAKE ST LOUIS, MO 63367(636) 625-1225 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 16, 2026, Jan 2, 2026, Aug 22, 2020 (3 updates tracked since 2020).

About New Creation Dental Care Lc NPPES

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

NEW CREATION DENTAL CARE LC (NPI 1801010467) is a healthcare organization registered as a general practice in Lake St Louis, Missouri and active in the NPI registry since April 2007. The organization lists Matthew Boscia, President, as its authorized official.

NPPES Registry Identity

NPI1801010467
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNEW CREATION DENTAL CARE LC
Location Address15 LAKESIDE DR STE ALake St Louis, MO 63367-1378
Mailing Address15 Lakeside Dr Ste ALake St Louis, MO 63367-1378 · (636) 625-1225
Phone(636) 625-1225
Organization SubpartNo
Authorized OfficialMatthew BosciaPresident · (636) 625-1225
Enumeration DateApril 12, 2007
Last NPPES UpdateJanuary 16, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
✔ NPI 1801010467 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 · 2003013106
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.

15 LAKESIDE DR STE A, Lake St Louis, MO 63367
Open in Google Maps ↗

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.

NEW CREATION CENTER FOR DENTAL SLEEP MEDICINE LLC
Dentist (General Practice)
15 LAKESIDE DR STE A
LAKE ST LOUIS, MO 63367
St. Charles County (636) 625-1225

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 New Creation Dental Care Lc's NPI number?

The NPI number for New Creation Dental Care Lc is 1801010467. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is New Creation Dental Care Lc located?

New Creation Dental Care Lc is located at 15 Lakeside Dr Ste A, Lake St Louis, MO 63367. The listed phone number is (636) 625-1225.

What is New Creation Dental Care Lc'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 New Creation Dental Care Lc was last updated on January 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.