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CARROLLWOOD DENTAL GROUP LLC
NPI 1821216060
Dentist - General Practice in Bridgeton, MO

Active since April 23, 2007
12147 NATURAL BRIDGE RD, BRIDGETON, MO 63044(314) 739-3700(314) 739-5048 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carrollwood Dental Group Llc NPPES

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

CARROLLWOOD DENTAL GROUP LLC (NPI 1821216060) is a healthcare organization registered as a general practice in Bridgeton, Missouri and active in the NPI registry since April 2007. The organization lists Victor L Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1821216060
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCARROLLWOOD DENTAL GROUP LLC
Location Address12147 NATURAL BRIDGE RDBridgeton, MO 63044-2018
Mailing Address12147 Natural Bridge RdBridgeton, MO 63044-2018 · (314) 739-3700 · Fax (314) 739-5048
Phone(314) 739-3700
Fax(314) 739-5048
Organization SubpartNo
Authorized OfficialVictor L ClarkOwner · (314) 739-3700
Enumeration DateApril 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1821216060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MO · 2003012113✔ Licensed in MO · 14202✔ Licensed in MO · 013326
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.
12147 NATURAL BRIDGE RD, Bridgeton, MO 63044
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. CHRISTOPHER ADAM PALMER D.D.S.
Dentist (General Practice)
12147 NATURAL BRIDGE RD
BRIDGETON, MO 63044
St. Louis County (314) 739-3700
DR. JARY T KLEIN JARY T KLEIN, DDS
Dentist
12147 NATURAL BRIDGE RD
BRIDGETON, MO 63044
St. Louis County (314) 739-3700

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 Carrollwood Dental Group LLC's NPI number?

The NPI number for Carrollwood Dental Group LLC is 1821216060. It was assigned to this organization in the NPPES registry on April 23, 2007.

Where is Carrollwood Dental Group LLC located?

Carrollwood Dental Group LLC is located at 12147 Natural Bridge Rd, Bridgeton, MO 63044. The listed phone number is (314) 739-3700.

What is Carrollwood Dental Group LLC'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 Carrollwood Dental Group LLC 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.