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MYSTLDENTIST LLC
NPI 1972039501
Clinic/Center - Dental in Saint Louis, MO

Active since May 02, 2017
4590 S LINDBERGH BLVD, SAINT LOUIS, MO 63127(314) 842-0440(314) 849-5847 Get Directions Write a Review

NPPES record last updated: May 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mystldentist Llc NPPES

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

MYSTLDENTIST LLC (NPI 1972039501) is a healthcare organization registered as a dental in Saint Louis, Missouri and active in the NPI registry since May 2017. The organization lists William Edward Uthoff, Sole Memeber, as its authorized official.

NPPES Registry Identity

NPI1972039501
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMYSTLDENTIST LLC
Location Address4590 S LINDBERGH BLVDSaint Louis, MO 63127-1832
Mailing Address4590 S Lindbergh BlvdSaint Louis, MO 63127-1832 · (314) 842-0440 · Fax (314) 848-5847
Phone(314) 842-0440
Fax(314) 849-5847
Organization SubpartNo
Authorized OfficialWilliam Edward UthoffSole Memeber · (314) 842-0440
Enumeration DateMay 2, 2017
✔ NPI 1972039501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MO · 013578
4590 S LINDBERGH BLVD, Saint Louis, MO 63127
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Other Providers at the Same Location NPPES 10

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

DR. KURT M EICHHOLZ MD
Neurological Surgery
4590 S LINDBERGH BLVD
SAINT LOUIS, MO 63127
St. Louis County (314) 270-9494
DR. ROBERT A MORGAN M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4590 S LINDBERGH BLVD
SAINT LOUIS, MO 63127
St. Louis County (314) 270-9494
DR. MEGAN THERESE FASANELLA D.M.D.
Dentist
4590 S LINDBERGH BLVD
SAINT LOUIS, MO 63127
St. Louis County (847) 922-6709
CATHY WARE KOETTING CPNP, NP-C
Nurse Practitioner
4590 S LINDBERGH BLVD
SAINT LOUIS, MO 63127
St. Louis County (314) 849-7669
ST. LOUIS MINIMALLY INVASIVE SPINE
Specialist
4590 S LINDBERGH BLVD
SAINT LOUIS, MO 63127
St. Louis County (314) 607-2427
MS. KAREN TRIPPE NICHOLS RN, MSN
Nurse Practitioner (Family)
4590 S LINDBERGH BLVD
SAINT LOUIS, MO 63127
St. Louis County (314) 849-7669
DR. WILLIAM UTHOFF II D.M.D.
Dentist
4590 S LINDBERGH BLVD
SAINT LOUIS, MO 63127
St. Louis County (314) 842-0440
PETER SYLVESTER
Neurological Surgery
4590 S LINDBERGH BLVD
SAINT LOUIS, MO 63127
St. Louis County (314) 270-9494

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 Mystldentist LLC's NPI number?

The NPI number for Mystldentist LLC is 1972039501. It was assigned to this organization in the NPPES registry on May 2, 2017.

Where is Mystldentist LLC located?

Mystldentist LLC is located at 4590 S Lindbergh Blvd, Saint Louis, MO 63127. The listed phone number is (314) 842-0440.

What is Mystldentist LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Mystldentist LLC was last updated on May 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.