Sydney Wahl, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2026021312 Issued in MO

Practice address

1185 Cave Springs Estate Dr
Saint Peters, MO 63376-6529

Phone

(314) 380-9600

Fax

(636) 244-2312

NPI assigned

May 22, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PLD of South City PC

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1871479758
  NPD (past)
• PLD of St. Charles, P.C.

  • General Practice Dentistry
  • Saint Peters, MO
  • NPI 1841009438
  NPD (past)

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1104756923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 CAVE SPRINGS ESTATE DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766529",
            "telephone_number": "314-380-9600",
            "fax_number": "636-244-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 CAVE SPRINGS ESTATE DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766529",
            "telephone_number": "314-380-9600",
            "fax_number": "636-244-2312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3708 Jennings Station Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631213500",
            "country_code": "US",
            "telephone_number": "314-380-9600",
            "fax_number": "314-382-2411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3859 Gravois Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631164657",
            "country_code": "US",
            "telephone_number": "314-380-9600",
            "fax_number": "314-382-2411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAHL",
        "first_name": "SYDNEY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-05-22",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2026021312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vvasudevan LLC
• Hannah Elizabeth Wade, BCBA, LBA
• Erica Wagner, DPT
• Seth Allen Wagner, PHARMD
• Hunter Wagoner, PLPC
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Wal-Mart Stores East, LP
• Mark S Wald, M.D.

• Dentist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.