Steven Ray Dedrickson, DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

14621 Issued in MO

Legal business name

STEVEN RAY DEDRICKSON, DDS PC

Doing business as

Sevens Dental Group

Practice address

7777 Bonhomme Ave Ste 1900
Clayton, MO 63105-1941

Phone

(314) 721-2466

Fax

(314) 725-5311

NPI assigned

Jun 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Steven Ray Dedrickson, DDSNPI 1548352289

Title

Owner

Phone

(314) 721-2466

Specialties & licenses 1

Addresses

Other names 1

• Sevens Dental Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Ray Dedrickson, DDS

  • Dentist
  • Clayton, MO
  • NPI 1548352289
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083819189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 BONHOMME AVE STE 1900",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631051941",
            "telephone_number": "314-721-2466",
            "fax_number": "314-725-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 BONHOMME AVE STE 1900",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631051941",
            "telephone_number": "314-721-2466",
            "fax_number": "314-725-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN RAY DEDRICKSON, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEDRICKSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-721-2466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "14621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sevens Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Souvannarath
• Lydia Sparling
• Specialists in Internal Medicine, PC
• Stefanie Sanger, LLC (Clayton Wellness Center)
• Samuel Stern
• Celeste Stewart, BCBA
• Katherine Stewart, LPC
• Kaylee Stillwell
• STL Injury and Spine LLC
• Sarah Strohmayer, M.A., LPC

• Dentist in Clayton, MO
• Providers in Clayton, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.