BOULEVARD DENTAL CARE L.L.C.
NPI 1831247048
Dentist - General Practice in Saint Charles, MO

Q: What is Boulevard Dental Care L.L.C.'s NPI number?

The NPI number for Boulevard Dental Care L.L.C. is 1831247048. It was assigned to this organization in the NPPES registry on January 7, 2007.

Q: What is Boulevard Dental Care L.L.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since January 07, 2007

2645 MUEGGE RD, SAINT CHARLES, MO 63303(636) 939-6868(636) 447-3611 Get Directions Write a Review

NPPES record last updated: July 30, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Boulevard Dental Care L.l.c. NPPES

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

BOULEVARD DENTAL CARE L.L.C. (NPI 1831247048) is a healthcare organization registered as a general practice in Saint Charles, Missouri and active in the NPI registry since January 2007. The organization lists Randall Craig Reyes, Manager, as its authorized official.

NPPES Registry Identity

NPI1831247048

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBOULEVARD DENTAL CARE L.L.C.

Location Address2645 MUEGGE RDSaint Charles, MO 63303-3145

Mailing Address11939 Manchester Rd, #120Des Peres, MO 63131-4502 · (636) 939-6868 · Fax (636) 447-3611

Phone(636) 939-6868

Fax(636) 447-3611

Organization SubpartNo

Authorized OfficialRandall Craig ReyesManager · (636) 939-6868

Enumeration DateJanuary 7, 2007

Last NPPES UpdateJuly 30, 2007

✔ NPI 1831247048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

2645 MUEGGE RD, Saint Charles, MO 63303

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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

Other Providers at the Same Location NPPES 8

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

COMPASS HEALTH, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))