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AZARYAS TADIWOS MANDEFRO DMD
NPI 1881922193
Dentist in Arnold, MO

Active since November 24, 2009
3850 JEFFCO BLVD, ARNOLD, MO 63010(636) 333-3304(636) 333-3307 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Azaryas Tadiwos Mandefro Dmd NPPES

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

AZARYAS TADIWOS MANDEFRO DMD (NPI 1881922193) is an individual dentist in Arnold, Missouri, licensed in Missouri (2009032198) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1881922193
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameAZARYAS TADIWOS MANDEFROCredential: DMD
Location Address3850 JEFFCO BLVDArnold, MO 63010
Mailing Address3850 Jeffco BlvdArnold, MO 63010 · (636) 333-3304 · Fax (636) 333-3307
Phone(636) 333-3304
Fax(636) 333-3307
Sole ProprietorYes
Enumeration DateNovember 24, 2009
Last NPPES UpdateMay 6, 2025
✔ NPI 1881922193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2009032198
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.
3850 JEFFCO BLVD, Arnold, MO 63010
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Other Identifiers 1

Medicaid40066124MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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 Azaryas Mandefro's NPI number?

The NPI number for Azaryas Mandefro is 1881922193. It was assigned to this individual provider in the NPPES registry on November 24, 2009.

Where is Azaryas Mandefro located?

Azaryas Mandefro practices at 3850 Jeffco Blvd, Arnold, MO 63010. The listed phone number is (636) 333-3304.

What is Azaryas Mandefro's specialty?

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

What insurance does Azaryas Mandefro accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 15 other insurers list Azaryas Mandefro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Azaryas Mandefro was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.