Periodontics LTD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

013097 Issued in MO

Legal business name

PERIODONTICS LTD

Practice address

3555 Sunset Office Dr Ste C105
Saint Louis, MO 63127-1014

Phone

(314) 965-3271

Fax

(314) 965-8113

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. George V Duello, DDS,MSNPI 1174746564

Title

Dr.

Phone

(314) 965-3271

Specialties & licenses 1

Addresses

Other names 1

• George V. Duello Former legal business name

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George V Duello, DDS,MS

  • Periodontics
  • Saint Louis, MO
  • NPI 1174746564
  NPD (past) Authorized official
• William B Albair, DDSMS

  • Periodontics
  • Saint Louis, MO
  • NPI 1164623963
  NPD (past)
• Matthew Shelby Slaven, D.D.S., M.S.D.

  • Periodontics
  • Saint Louis, MO
  • NPI 1598988909
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1124212790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 SUNSET OFFICE DR STE C105",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271014",
            "telephone_number": "314-965-3271",
            "fax_number": "314-965-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 SUNSET OFFICE DR STE C105",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271014",
            "telephone_number": "314-965-3271",
            "fax_number": "314-965-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "DUELLO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "314-965-3271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "013097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George V. Duello",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Performance Bracing & Orthotics, LLC
• Performance Health Care LLC
• Michele Lee Pergadia, PHD
• Christine Periasamy
• Enrique P Perinetti, MD
• Anne Margaret Perkins, LPC
• Austin Perkins, H.I.S.
• Beth Perkins, LPC
• Brian Perkins, NP
• Deborah Kay Perkins, FNP-BC

• Periodontics in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Periodontics in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.