CONNECTICUT DENTAL PROFESSIONALS, P.C.
NPI 1861145583
Dentist in Saint Louis, MO

Active since February 02, 2022
12647 OLIVE BLVD, SAINT LOUIS, MO 63141(217) 540-8306 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Connecticut Dental Professionals, P.c. NPPES

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

CONNECTICUT DENTAL PROFESSIONALS, P.C. (NPI 1861145583), doing business as Greater Norwalk Family Dentistry, is a healthcare organization registered as a dentist in Saint Louis, Missouri and active in the NPI registry since February 2022. The organization lists Hillary Thull, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1861145583
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCONNECTICUT DENTAL PROFESSIONALS, P.C.
Location Address12647 OLIVE BLVDSaint Louis, MO 63141-6393
Mailing Address1200 Network Centre Dr Ste 2Effingham, IL 62401-4637
Organization SubpartYes
Authorized OfficialHillary ThullCredentialing Coordinator · (217) 540-8946
Enumeration DateFebruary 2, 2022
NPPES CertifiedFebruary 2, 2022
NPI 1861145583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

12647 OLIVE BLVD, Saint Louis, MO 63141

Other Names 1

Doing Business AsGreater Norwalk Family Dentistry

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 20

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

Behavior Analyst
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Social Worker (Clinical)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Social Worker (Clinical)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Psychologist
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Radiologic Technologist
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Nurse Practitioner (Neonatal)
12647 OLIVE BLVD
SAINT LOUIS, MO 63141
Registered Nurse
12647 OLIVE BLVD
SAINT LOUIS, MO 63141
Family Medicine
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141

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 Connecticut Dental Professionals, P.C.'s NPI number?

The NPI number for Connecticut Dental Professionals, P.C. is 1861145583. It was assigned to this organization in the NPPES registry on February 2, 2022. The provider is doing business as Greater Norwalk Family Dentistry.

Where is Connecticut Dental Professionals, P.C. located?

Connecticut Dental Professionals, P.C. is located at 12647 Olive Blvd, Saint Louis, MO 63141. The listed phone number is (217) 540-8306.

What is Connecticut Dental Professionals, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Connecticut Dental Professionals, P.C. was last updated on February 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.