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DR. HARRY JEROME FONDREN D.D.S.
NPI 1972706158
Dentist - General Practice in Saint Louis, MO

Active since June 06, 2007PECOS Enrolled
7645 DELMAR BLVD, SAINT LOUIS, MO 63130(314) 727-6323(314) 727-9263 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Harry Jerome Fondren D.d.s. NPPES

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

DR. HARRY JEROME FONDREN D.D.S. (NPI 1972706158) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (12216) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972706158
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. HARRY JEROME FONDRENCredential: D.D.S.
Location Address7645 DELMAR BLVDSaint Louis, MO 63130-3910
Mailing Address7645 Delmar Blvd.Saint Louis, MO 63130 · (314) 727-6323 · Fax (314) 727-9263
Phone(314) 727-6323
Fax(314) 727-9263
Sole ProprietorYes
Enumeration DateJune 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972706158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 12216
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
7645 DELMAR BLVD, Saint Louis, MO 63130
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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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Harry Jerome Fondren D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Harry Fondren's NPI number?

The NPI number for Harry Fondren is 1972706158. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Harry Fondren located?

Harry Fondren practices at 7645 Delmar Blvd, Saint Louis, MO 63130. The listed phone number is (314) 727-6323.

What is Harry Fondren's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Harry Fondren enrolled in Medicare?

Yes. Harry Fondren is registered in the Medicare PECOS enrollment system.

What insurance does Harry Fondren 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 3 other insurers list Harry Fondren 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 Harry Fondren was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.