David Guilbeault DMD Three Rivers Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2000174030 Issued in MO

Legal business name

DAVID GUILBEAULT DMD THREE RIVERS DENTAL LLC

Practice address

2386 N Highway 67
Suite 2
Florissant, MO 63033-2034

Phone

(314) 355-4140

NPI assigned

May 17, 2013

Organization subpart

No

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

Authorized official

Name

Amy Gibbons

Title

Operations Manager

Phone

(618) 248-2038

Specialties & licenses 1

Addresses

Other names 1

• Three Rivers Dental Doing business as

Locations

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1366888331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GINGER CREEK PKWY",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343502",
            "telephone_number": "618-248-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 N HIGHWAY 67",
            "address_2": "SUITE 2",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630332034",
            "telephone_number": "314-355-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GUILBEAULT DMD THREE RIVERS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "618-248-2038"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2000174030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Brandon Danahy
• Ashley Azzure Daniel, FNP -C
• Brittany Daniel, DDS
• Sharon Daniels-Hines, LCSW, CEAP
• David Guilbeault DMD Florissant Dental Group LLC
• Cheyenne Davidson
• Alexis Davis, CF-SLP
• Ambria Davis
• Andrew Adam Bernstein Davis, MD
• Ebonie Sierra Davis, LPC; NBCC

• General Practice Dentistry in Florissant, MO
• Providers in Florissant, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.