Organization Active NPI

Saint Louis Dental Studio, LLC

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1144074253
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SAINT LOUIS DENTAL STUDIO, LLC
Practice address
7004 Lansdowne Ave
Saint Louis, MO 63109-1950
Phone
(314) 645-7247
NPI assigned
Apr 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Dr. Jonathan Pyle, DMDNPI 1275141764
Title
Owner
Phone
(913) 717-9668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7004 Lansdowne Ave
Saint Louis, MO 63109-1950

Mailing address

1642 Clarkson Rd
Chesterfield, MO 63017-4601
Phone (913) 717-9668

National Provider Directory

National Provider Directory

Locations

7004 Lansdowne Ave
Saint Louis, MO 63109
Phone (314) 645-7247

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1144074253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 CLARKSON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174601",
            "telephone_number": "913-717-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 LANSDOWNE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091950",
            "telephone_number": "314-645-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LOUIS DENTAL STUDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "PYLE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-717-9668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.