ADVANCED FAMILY DENTAL
NPI 1922123652
Dentist in Bridgeton, MO

Q: What is Dde LLC's NPI number?

The NPI number for Dde LLC is 1922123652. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is doing business as Advanced Family Dental.

Q: What is Dde LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dde LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

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: August 09, 2026.

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About Advanced Family Dental NPPES

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

ADVANCED FAMILY DENTAL (NPI 1922123652) is a healthcare organization registered as a dentist in Bridgeton, Missouri and active in the NPI registry since March 2007. The organization lists Terry R Egan, Member, as its authorized official.

NPPES Registry Identity

NPI1922123652

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameDDE LLC

Location Address12758 BOENKER LNBridgeton, MO 63044-2436

Mailing Address12758 Boenker LnBridgeton, MO 63044-2436 · (314) 739-3300

Phone(314) 739-3300

Organization SubpartNo

Authorized OfficialTerry R EganMember · (314) 739-3300

Enumeration DateMarch 20, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1922123652 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.

12758 BOENKER LN, Bridgeton, MO 63044

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Other Names 1

Doing Business AsAdvanced Family Dental

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 9

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

DR. MARK FREDERICK PULTMAN D.D.S.

Dentist (General Practice)