All Star Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2002007232 Issued in MO

Legal business name

ALL STAR DENTAL

Practice address

201A E 5TH St
Eureka, MO 63025-1223

Phone

(636) 938-7827

Fax

(636) 938-5979

NPI assigned

Jul 13, 2009

Organization subpart

Yes

Parent organization

ARTHUR T ENGELAGEAs reported in NPPES

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

Authorized official

Name

Arthur T Engelage, DMD

Title

Owner

Phone

(618) 233-3503

Specialties & licenses 1

Addresses

Part of

Belleville Dental Center

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1295964104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201A E 5TH ST",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251223",
            "telephone_number": "636-938-7827",
            "fax_number": "636-938-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201A E 5TH ST",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251223",
            "telephone_number": "636-938-7827",
            "fax_number": "636-938-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL STAR DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARTHUR T ENGELAGE",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "ENGELAGE",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-233-3503",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "2002007232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Adams, MS, RD, CSR, LD
• Advanced Chiropractic and Nutrition, LLC
• Advanced Chiropractic and Rehab of Eureka LLC
• Agape Family Chiropractic LLC
• Emily Alford, PT
• Jody Joanne Frances Amberg, LPC NCC
• Anchor Care LLC
• Apn First Assistants
• Arch City Foot and Ankle PC
• Arch City Health Care

• Dental Clinic/Center in Eureka, MO
• Providers in Eureka, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.