MISSOURI CENTER FOR ORAL SURGERY AND IMPLANTS LLC
NPI 1801508379
Dentist - Oral and Maxillofacial Surgery in Saint Peters, MO

Q: What is Missouri Center For Oral Surgery And Implants LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since December 15, 2022

1 MID RIVERS MALL DR STE 310, SAINT PETERS, MO 63376(636) 928-7217(636) 397-0223 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Missouri Center For Oral Surgery And Implants Llc NPPES

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

MISSOURI CENTER FOR ORAL SURGERY AND IMPLANTS LLC (NPI 1801508379), doing business as First Capitol Oral And Maxillofacial Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in Saint Peters, Missouri and active in the NPI registry since December 2022. The organization maintains a secondary practice location in Wentzville and lists Kelsey Caitlin Smith, Partner, as its authorized official.

NPPES Registry Identity

NPI1801508379

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameMISSOURI CENTER FOR ORAL SURGERY AND IMPLANTS LLC

Location Address1 MID RIVERS MALL DR STE 310Saint Peters, MO 63376-4323

Mailing Address1 Mid Rivers Mall Dr Ste 310Saint Peters, MO 63376-4323 · (636) 928-7217 · Fax (636) 397-0223

Phone(636) 928-7217

Fax(636) 397-0223

Organization SubpartYesParent: Kelsey Smith, Dds, Md, Pc

Authorized OfficialKelsey Caitlin SmithPartner · (314) 956-5651

Enumeration DateDecember 15, 2022

NPPES CertifiedDecember 15, 2022

✔ NPI 1801508379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1 MID RIVERS MALL DR STE 310, Saint Peters, MO 63376

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Other Names 3

Doing Business AsFirst Capitol Oral And Maxillofacial Surgery

Doing Business AsOral And Maxillofacial Surgery At The Crossing

Other NameKenneth Clark Priddy, Dds, Md, Pc

Secondary Practice Location 1

Location 1853 Medical Dr Ste 115Wentzville, MO 63385-3825 · Phone (368) 873-1006 · Fax (636) 887-3102

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

KELSEY CAITLIN SMITH DDS, MD

Dentist (Oral and Maxillofacial Surgery)

1 MID RIVERS MALL DR STE 310
SAINT PETERS, MO 63376

St. Charles County (636) 928-7217

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 Missouri Center For Oral Surgery And Implants LLC's NPI number?

The NPI number for Missouri Center For Oral Surgery And Implants LLC is 1801508379. It was assigned to this organization in the NPPES registry on December 15, 2022. The provider is doing business as First Capitol Oral and Maxillofacial Surgery and Oral and Maxillofacial Surgery at the Crossing. The provider is also known as Kenneth Clark Priddy, DDS, MD, PC.

Where is Missouri Center For Oral Surgery And Implants LLC located?

Missouri Center For Oral Surgery And Implants LLC is located at 1 Mid Rivers Mall Dr Ste 310, Saint Peters, MO 63376. The listed phone number is (636) 928-7217.

What is Missouri Center For Oral Surgery And Implants LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Missouri Center For Oral Surgery And Implants LLC accept?

Health plans from UnitedHealthcare list Missouri Center For Oral Surgery And Implants LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Missouri Center For Oral Surgery And Implants LLC was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.