Gregory S. St. John, DDS, PC
Organization Active NPI Dental Clinic/Center · Wildwood, MO
NPI 1174775407 · NPPES record last updated Oct 17, 2008
Key facts
- NPI
- 1174775407
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 014718 (MO)
- Legal business name
- GREGORY S. ST. JOHN, DDS, PC
- Practice address
- 16429 Village Plaza View Dr
Wildwood, MO 63011-4913 - Phone
- (636) 458-9300
- NPI assigned
- Oct 17, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Gregory S St. John, DDS
- Title
- President
- Phone
- (636) 458-9300
National Provider Directory
Locations
16429 Village Plaza View Dr
#D
Wildwood, MO 63011
Phone (636) 458-9300
16429 Village Plaza View Dr
Wildwood, MO 63011
Phone (636) 458-9300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 014718 | MO | Yes |
Addresses
Primary practice location
16429 Village Plaza View Dr
Wildwood, MO 63011-4913
Mailing address
16429 Village Plaza View Dr
Wildwood, MO 63011-4913
Phone (636) 458-9300
Other providers in Wildwood, MO
- Keridan Gossrau
- Grace Home Healthcare, LLC
- John Anthony Gragnani
- Amber Grayson
- Emily Gregor
- Megan Marie Grobe
- Megan Marie Hampton
- Brittney Hawk
- Christine Marie Hayes
- Healing Hour LLC
All providers in Wildwood, MO · Dental Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.