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DR. JACLYN KOSTELAC DDS
NPI 1861874349
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since June 22, 2015
3320 RUTGER ST, SAINT LOUIS, MO 63104(314) 977-8363 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jaclyn Kostelac Dds NPPES

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

DR. JACLYN KOSTELAC DDS (NPI 1861874349) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1861874349
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JACLYN KOSTELACCredential: DDS
Location Address3320 RUTGER STSaint Louis, MO 63104-1122
Mailing Address3300 Kostelac LnBelleville, IL 62223-7728 · (618) 910-3835
Phone(314) 977-8363
Sole ProprietorYes
Enumeration DateJune 22, 2015
✔ NPI 1861874349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3320 RUTGER ST, Saint Louis, MO 63104
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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.

ALLY MARIE GOURLEY
Dentist (Pediatric Dentistry)
3320 RUTGER ST
SAINT LOUIS, MO 63104
St. Louis City (314) 977-7336
ST. LOUIS UNIVERSITY
Clinic/Center (Dental)
3320 RUTGER ST
SAINT LOUIS, MO 63104
St. Louis City (314) 977-8363
DR. TREY HENSLER DDS
Dentist
3320 RUTGER ST
SAINT LOUIS, MO 63104
St. Louis City (314) 977-8600
SAINT LOUIS UNIVERSITY
Clinic/Center (Dental)
3320 RUTGER ST
SAINT LOUIS, MO 63104
St. Louis City (314) 977-7336
AZADEH ESLAMI AMIN DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
3320 RUTGER ST
SAINT LOUIS, MO 63104
St. Louis City (314) 977-8363
DR. LINDSAY ANNE POWERS D.M.D.
Dentist
3320 RUTGER ST
SAINT LOUIS, MO 63104
St. Louis City (314) 977-8381
DR. AVRUM GOLDBERG DDS
Student in an Organized Health Care Education/Training Program
3320 RUTGER ST
SAINT LOUIS, MO 63104
St. Louis City (314) 977-8363
DR. LINDSAY KATHLEEN GORMAN D.M.D.
Dentist
3320 RUTGER ST
SAINT LOUIS, MO 63104
St. Louis City (314) 977-8363

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 Jaclyn Kostelac's NPI number?

The NPI number for Jaclyn Kostelac is 1861874349. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Jaclyn Kostelac located?

Jaclyn Kostelac practices at 3320 Rutger St, Saint Louis, MO 63104. The listed phone number is (314) 977-8363.

What is Jaclyn Kostelac's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jaclyn Kostelac was last updated on June 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.