VOYAGE03, LLC
NPI 1811773674
Clinic/Center - Dental in O Fallon, MO

Active since September 06, 2023
472 HIGHWAY P, O FALLON, MO 63366(636) 431-8600(636) 215-8296 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Voyage03, Llc NPPES

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

VOYAGE03, LLC (NPI 1811773674), doing business as Northside Family Dentistry, is a healthcare organization registered as a dental in O Fallon, Missouri and active in the NPI registry since September 2023. The organization lists Kim Jimenez, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1811773674
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameVOYAGE03, LLC
Location Address472 HIGHWAY PO Fallon, MO 63366-1591
Mailing Address472 Highway PO Fallon, MO 63366-1591 · (636) 431-8600 · Fax (636) 215-8296
Fax(636) 215-8296
Organization SubpartNo
Authorized OfficialKim JimenezOffice Manager · (636) 431-8600
Enumeration DateSeptember 6, 2023
Last NPPES UpdateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
NPI 1811773674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
472 HIGHWAY P, O Fallon, MO 63366

Other Names 1

Doing Business AsNorthside Family Dentistry

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 Voyage03, LLC's NPI number?

The NPI number for Voyage03, LLC is 1811773674. It was assigned to this organization in the NPPES registry on September 6, 2023. The provider is doing business as Northside Family Dentistry.

Where is Voyage03, LLC located?

Voyage03, LLC is located at 472 Highway P, O Fallon, MO 63366. The listed phone number is (636) 431-8600.

What is Voyage03, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Voyage03, LLC was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.