Dipali D Thakker, DMD
Individual provider Active NPI General Practice Dentistry · O'Fallon, MO
NPI 1295828382 · NPPES record last updated Nov 12, 2025
Key facts
- NPI
- 1295828382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2012041115 (MO)
- Practice address
- 2990 State Hwy K
O'Fallon, MO 63368 - Phone
- (636) 978-7816
- Fax
- (636) 215-2937
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012041115 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaw Park Dental LLC | Current | Accepting new patients | |
| Ronald Weems Jr. P.C. | Past | Accepting new patients |
Interoperability endpoints
- dipali.thakker.p1@direct.affiniahealthcare.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2012041115 | MO | Yes |
Addresses
Primary practice location
2990 State Hwy K
O'Fallon, MO 63368
Mailing address
2990 State Hwy K
O'Fallon, MO 63368
Phone (636) 978-7816
Other providers in O'Fallon, MO
- Laura Michelle Sibley
- Lillie L Smith
- Spectrum Monitoring, LLC
- St Lukes Center for Diagnostic Imaging LLC
- George P. Stachecki
- Total Access Urgent Care, PC
- Maryann L Udy
- Shirley Joyce Vandiver
- Vital Chiropractic LLC
- Charles Andrew Walker
All providers in O'Fallon, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2025. 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.