KENNERLY DENTAL GROUP, INC.
NPI 1811910250
Dentist - General Practice in Saint Louis, MO

Active since July 26, 2006
9906 KENNERLY RD, SAINT LOUIS, MO 63128(314) 842-5177(314) 842-9935 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennerly Dental Group, Inc. NPPES

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

KENNERLY DENTAL GROUP, INC. (NPI 1811910250) is a healthcare organization registered as a general practice in Saint Louis, Missouri and active in the NPI registry since July 2006. The organization lists Edwin Richard Schertzer, President, as its authorized official.

NPPES Registry Identity

NPI1811910250
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKENNERLY DENTAL GROUP, INC.
Location Address9906 KENNERLY RDSaint Louis, MO 63128-2704
Mailing Address9906 Kennerly RdSaint Louis, MO 63128-2704 · (314) 842-5177 · Fax (314) 842-9935
Fax(314) 842-9935
Organization SubpartNo
Authorized OfficialEdwin Richard SchertzerPresident · (314) 842-5177
Enumeration DateJuly 26, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1811910250 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 · 012378
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.
9906 KENNERLY RD, Saint Louis, MO 63128

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.

Dentist (General Practice)
9906 KENNERLY RD
SAINT LOUIS, MO 63128
Dentist (General Practice)
9906 KENNERLY RD
SAINT LOUIS, MO 63128
Dentist (General Practice)
9906 KENNERLY RD
SAINT LOUIS, MO 63128

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 Kennerly Dental Group, Inc.'s NPI number?

The NPI number for Kennerly Dental Group, Inc. is 1811910250. It was assigned to this organization in the NPPES registry on July 26, 2006.

Where is Kennerly Dental Group, Inc. located?

Kennerly Dental Group, Inc. is located at 9906 Kennerly Rd, Saint Louis, MO 63128. The listed phone number is (314) 842-5177.

What is Kennerly Dental Group, Inc.'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 Kennerly Dental Group, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.