CCS Smiles LLC

Organization Active NPI Pediatric Dentistry · Des Peres, MO

NPI 1316638125 · NPPES record last updated May 15, 2023

Key facts

NPI
1316638125
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Dentistry 1223P0221X
Legal business name
CCS SMILES LLC
Practice address
11941 Manchester Rd
Des Peres, MO 63131-4502
Phone
(314) 501-8300
Fax
(314) 462-1844
NPI assigned
May 15, 2023
Organization subpart
No

Authorized official

Name
Dr. Corbin Salthouse, DDS
Title
Owner
Phone
(314) 960-5740

Practitioners 1

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

National Provider Directory

Locations

11941 Manchester Rd
Saint Louis, MO 63131
Phone (314) 501-8300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223P0221X Yes

Addresses

Primary practice location

11941 Manchester Rd
Des Peres, MO 63131-4502

Mailing address

11941 Manchester Rd
Des Peres, MO 63131-4502
Phone (314) 501-8300

Other names

  • Salthouse Smiles Pediatric Dentistry Doing business as

Other providers in Des Peres, MO

All providers in Des Peres, MO · Pediatric Dentistry in Missouri

Sources for this page

Verify at the official NPI Registry.