MO SPECIALTY DENTAL SERVICES, LLC
NPI 1811624141
Dentist - Pediatric Dentistry in O Fallon, MO

Q: What is Mo Specialty Dental Services, LLC's NPI number?

The NPI number for Mo Specialty Dental Services, LLC is 1811624141. It was assigned to this organization in the NPPES registry on August 5, 2022.

Q: What is Mo Specialty Dental Services, LLC's specialty?

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

Active since August 05, 2022

4142 KEATON CROSSING BLVD STE 10, O FALLON, MO 63368(636) 244-2620 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mo Specialty Dental Services, Llc NPPES

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

MO SPECIALTY DENTAL SERVICES, LLC (NPI 1811624141) is a healthcare organization registered as a pediatric dentistry in O Fallon, Missouri and active in the NPI registry since August 2022. The organization lists Charlotte Dasch, Director Of Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1811624141

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameMO SPECIALTY DENTAL SERVICES, LLC

Location Address4142 KEATON CROSSING BLVD STE 10O Fallon, MO 63368-8404

Mailing Address1610 54th Ave N Ste 205Nashville, TN 37209-1442 · (615) 678-0759

Phone(636) 244-2620

Organization SubpartNo

Authorized OfficialCharlotte DaschDirector Of Provider Relations · (504) 638-0303

Enumeration DateAugust 5, 2022

NPPES CertifiedAugust 5, 2022

✔ NPI 1811624141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

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.

4142 KEATON CROSSING BLVD STE 10, O Fallon, MO 63368

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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

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 Mo Specialty Dental Services, LLC's NPI number?

The NPI number for Mo Specialty Dental Services, LLC is 1811624141. It was assigned to this organization in the NPPES registry on August 5, 2022.

Where is Mo Specialty Dental Services, LLC located?

Mo Specialty Dental Services, LLC is located at 4142 Keaton Crossing Blvd Ste 10, O Fallon, MO 63368. The listed phone number is (636) 244-2620.

What is Mo Specialty Dental Services, LLC'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 Mo Specialty Dental Services, LLC was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.