CREVE COEUR ORAL SURGERY
NPI 1891107132
Dentist - Oral and Maxillofacial Surgery in Saint Louis, MO

Active since May 21, 2014
605 OLD BALLAS RD, SUITE 130, SAINT LOUIS, MO 63141(314) 361-0760(314) 367-7726 Get Directions Write a Review

NPPES record last updated: May 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Creve Coeur Oral Surgery NPPES

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

CREVE COEUR ORAL SURGERY (NPI 1891107132) is a healthcare organization registered as an oral and maxillofacial surgery in Saint Louis, Missouri and active in the NPI registry since May 2014. The organization lists Amanda Andrews, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1891107132
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCREVE COEUR ORAL SURGERY
Location Address605 OLD BALLAS RD, SUITE 130Saint Louis, MO 63141-7000
Mailing Address22 N Euclid Ave, Suite 220Saint Louis, MO 63108-1407 · (314) 361-0760 · Fax (314) 367-7726
Fax(314) 367-7726
Organization SubpartYesParent: Jay F Hauser Dds Pc Dba Premier Dental Partners
Authorized OfficialAmanda AndrewsInsurance Coordinator · (314) 361-0760
Enumeration DateMay 21, 2014
NPI 1891107132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
605 OLD BALLAS RD, Saint Louis, MO 63141

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

Counselor (Mental Health)
605 OLD BALLAS RD, SUITE 123
SAINT LOUIS, MO 63141
Durable Medical Equipment & Medical Supplies
605 OLD BALLAS RD, SUITE 124
CREVE COEUR, MO 63141
Nurse Practitioner (Family)
605 OLD BALLAS RD, STE 200
ST. LOUIS, MO 63141
Licensed Practical Nurse
605 OLD BALLAS RD, SUITE 118
CREVE COEUR, MO 63141
Internal Medicine
605 OLD BALLAS RD, SUITE 200
SAINT LOUIS, MO 63141
Social Worker (Clinical)
605 OLD BALLAS RD, SUITE 123
SAINT LOUIS, MO 63141
Durable Medical Equipment & Medical Supplies
605 OLD BALLAS RD, SUITE 100
CREVE COEUR, MO 63141
Oral & Maxillofacial Surgery
605 OLD BALLAS RD
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 Creve Coeur Oral Surgery's NPI number?

The NPI number for Creve Coeur Oral Surgery is 1891107132. It was assigned to this organization in the NPPES registry on May 21, 2014.

Where is Creve Coeur Oral Surgery located?

Creve Coeur Oral Surgery is located at 605 Old Ballas Rd Suite 130, Saint Louis, MO 63141. The listed phone number is (314) 361-0760.

What is Creve Coeur Oral Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Creve Coeur Oral Surgery was last updated on May 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.