Advanced Dental Arts Watson Road LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ADVANCED DENTAL ARTS WATSON ROAD LLC

Doing business as

Family & Cosmetic Dentistry

Practice address

7809 Watson Rd
Saint Louis, MO 63119-5408

Phone

(314) 968-7979

NPI assigned

Jun 19, 2024

Last updated

Jun 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Aaron Schertzer, DDSNPI 1013061712

Title

Managing Member

Phone

(314) 560-3945

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family & Cosmetic Dentistry Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron Matthew Schertzer, D.D.S.

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1013061712
  NPD Authorized official
• James Leo Schmidt, D.D.S.

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1881625010
  NPD
• Feras Al Khatib, DMD

  • General Practice Dentistry
  • Alton, IL
  • NPI 1952895252
  NPD (past)

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1366286932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7809 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195408",
            "telephone_number": "314-968-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7809 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195408",
            "telephone_number": "314-968-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL ARTS WATSON ROAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "SCHERTZER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "314-560-3945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1013061712",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, 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 Jun 19, 2024; 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.