George V Duello, DDS,MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

00598 Issued in MO

Practice address

3555 Sunset Office Dr
Suite C105
Saint Louis, MO 63127-1015

Phone

(314) 965-3271

Fax

(314) 965-8113

NPI assigned

Apr 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• George V Duello Other name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Periodontics LTD

  • Periodontics
  • Saint Louis, MO
  • NPI 1124212790
  NPD (past) Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174746564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 GREENBRIAR ESTATES DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223350",
            "telephone_number": "314-822-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 SUNSET OFFICE DR",
            "address_2": "SUITE C105",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271015",
            "telephone_number": "314-965-3271",
            "fax_number": "314-965-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUELLO",
        "first_name": "GEORGE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DDS,MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "00598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "DUELLO",
            "middle_name": "V",
            "credential": "DDS,PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eldin Duderija, MD
• Annette Dudley
• Cheri A Dueker, NCC, LPC
• Barry Phillip Duel, MD
• Scott Duell, MT-BC
• Katelyn Duenas
• Leighton Duerksen, DC
• Robert A. Duerr, M.D.
• Lindsey C Duesterhaus, FNP
• Dawnielle Denise Duff

• 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.