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KELLY G. POTTORF HYGIENST
NPI 1992008213
Dental Hygienist in Saint Louis, MO

Active since December 08, 2010
1717 BIDDLE ST, SAINT LOUIS, MO 63106(314) 898-1717(314) 814-8542 Get Directions Write a Review

NPPES record last updated: December 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly G. Pottorf Hygienst NPPES

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

KELLY G. POTTORF HYGIENST (NPI 1992008213) is an individual dental hygienist in Saint Louis, Missouri, licensed in Missouri (2009007073) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1992008213
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameKELLY G. POTTORFCredential: HYGIENST
Location Address1717 BIDDLE STSaint Louis, MO 63106-3454
Mailing Address1717 BiddleSt. Louis, MO 63107 · (314) 898-1717 · Fax (314) 814-8542
Phone(314) 898-1717
Fax(314) 814-8542
Sole ProprietorNo
Enumeration DateDecember 8, 2010
✔ NPI 1992008213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in MO · 2009007073
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
1717 BIDDLE ST, Saint Louis, MO 63106
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Other Identifiers 1

Medicaid2009007073MO

Other Providers at the Same Location NPPES 20

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

KENDRA HOLMES RPH
Pharmacist
1717 BIDDLE ST
SAINT LOUIS, MO 63106
St. Louis City (314) 814-8585
DR. VIVIAN KNIPP PH.D.
Psychologist
1717 BIDDLE ST
SAINT LOUIS, MO 63106
St. Louis City (314) 814-8616
MS. FRANCES E. WHITE D.M.D.
Dentist (General Practice)
1717 BIDDLE ST
SAINT LOUIS, MO 63106
St. Louis City (314) 814-8515
AFFINIA HEALTHCARE
Pharmacy (Clinic Pharmacy)
1717 BIDDLE ST
SAINT LOUIS, MO 63106
St. Louis City (314) 814-8638
PATRICK SCHOENWALDER PA-C
Physician Assistant (Medical)
1717 BIDDLE ST
SAINT LOUIS, MO 63106
St. Louis City (314) 898-1700
DR. JUEE PHALAK M.D., M.P.H.
Psychiatry & Neurology (Psychiatry)
1717 BIDDLE ST
SAINT LOUIS, MO 63106
St. Louis City (314) 898-1700
ANGELA J MARTINEZ RPH
Pharmacist
1717 BIDDLE ST
SAINT LOUIS, MO 63106
St. Louis City (314) 814-8585
JUDITH KAYE GREEN RPH
Pharmacist
1717 BIDDLE ST
SAINT LOUIS, MO 63106
St. Louis City (314) 814-8638

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 Kelly Pottorf's NPI number?

The NPI number for Kelly Pottorf is 1992008213. It was assigned to this individual provider in the NPPES registry on December 8, 2010.

Where is Kelly Pottorf located?

Kelly Pottorf practices at 1717 Biddle St, Saint Louis, MO 63106. The listed phone number is (314) 898-1717.

What is Kelly Pottorf's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Kelly Pottorf was last updated on December 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.