NEW CREATION CENTER FOR DENTAL SLEEP MEDICINE LLC
NPI 1972963460
Dentist - General Practice in Lake St Louis, MO

Q: What is New Creation Center For Dental Sleep Medicine LLC's specialty?

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

Active since February 26, 2016

15 LAKESIDE DR STE A, LAKE ST LOUIS, MO 63367(636) 625-1225(636) 625-1228 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About New Creation Center For Dental Sleep Medicine Llc NPPES

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

NEW CREATION CENTER FOR DENTAL SLEEP MEDICINE LLC (NPI 1972963460) is a healthcare organization registered as a general practice in Lake St Louis, Missouri and active in the NPI registry since February 2016. The organization lists Matthew Boscia, Dentist, as its authorized official.

NPPES Registry Identity

NPI1972963460

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameNEW CREATION CENTER FOR DENTAL SLEEP MEDICINE LLC

Location Address15 LAKESIDE DR STE ALake St Louis, MO 63367-1378

Mailing Address15 Lakeside Dr Ste ALake St Louis, MO 63367-1378 · (636) 625-1225 · Fax (636) 625-1228

Phone(636) 625-1225

Fax(636) 625-1228

Organization SubpartNo

Authorized OfficialMatthew BosciaDentist · (636) 625-1225

Enumeration DateFebruary 26, 2016

Last NPPES UpdateJuly 22, 2016

✔ NPI 1972963460 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 · 2003013106

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.

15 LAKESIDE DR STE A, Lake St Louis, MO 63367

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Other Identifiers 1

Medicare NSC7526580001

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

NEW CREATION DENTAL CARE LC

Dentist (General Practice)

15 LAKESIDE DR STE A
LAKE ST LOUIS, MO 63367

St. Charles County (636) 625-1225

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 New Creation Center For Dental Sleep Medicine LLC's NPI number?

The NPI number for New Creation Center For Dental Sleep Medicine LLC is 1972963460. It was assigned to this organization in the NPPES registry on February 26, 2016.

Where is New Creation Center For Dental Sleep Medicine LLC located?

New Creation Center For Dental Sleep Medicine LLC is located at 15 Lakeside Dr Ste A, Lake St Louis, MO 63367. The listed phone number is (636) 625-1225.

What is New Creation Center For Dental Sleep Medicine LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for New Creation Center For Dental Sleep Medicine LLC was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.