ADVANCED FAMILY DENTAL
NPI 1922123652
Dentist in Bridgeton, MO

Active since March 20, 2007
12758 BOENKER LN, BRIDGETON, MO 63044(314) 739-3300 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist

About ADVANCED FAMILY DENTAL

This page provides the complete NPI Profile along with additional information for Advanced Family Dental, a provider established in Bridgeton, Missouri operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1922123652 assigned on March 2007. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Advanced Family Dental operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Advanced Family Dental. The authorized official of this NPI record is Dr. Terry R Egan Dds (Member)

NPI
1922123652 Verify this NPI
Provider Legal Name
DDE LLC
Other Organization Name
ADVANCED FAMILY DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12758 BOENKER LN BRIDGETON, MO 63044
Location Phone
(314) 739-3300
Mailing Address
12758 BOENKER LN BRIDGETON, MO 63044
Mailing Phone
(314) 739-3300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2007
Last Update Date
08-22-2020
Code Navigator

A dentist like Advanced Family Dental is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License State
MO
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TERRY R EGAN DDS

Authorized Official Title
MEMBER
Authorized Official Phone
(314) 739-3300

Reviews for ADVANCED FAMILY DENTAL

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Dentist (General Practice)
12758 BOENKER LN
BRIDGETON, MO 63044
Dentist (General Practice)
12758 BOENKER LN
BRIDGETON, MO 63044
Dentist (General Practice)
12758 BOENKER LN
BRIDGETON, MO 63044
Dentist (Periodontics)
12758 BOENKER LN
BRIDGETON, MO 63044
Dentist (General Practice)
12758 BOENKER LN
BRIDGETON, MO 63044
Dentist (Periodontics)
12758 BOENKER LN
BRIDGETON, MO 63044
Dentist (General Practice)
12758 BOENKER LN
BRIDGETON, MO 63044
Dentist (General Practice)
12758 BOENKER LN
BRIDGETON, MO 63044
Dentist
12758 BOENKER LN
BRIDGETON, MO 63044

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922123652, enumerated as an "organization" on March 20, 2007.

The provider is located at 12758 BOENKER LN BRIDGETON, MO 63044 and the phone number is (314) 739-3300.

Dentist with taxonomy code 122300000X.