C Graves DDS PC

Organization Active NPI General Practice Dentistry · Saint Louis, MO

NPI 1427654151 · NPPES record last updated Dec 8, 2020

Key facts

NPI
1427654151
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
C GRAVES DDS PC
Practice address
11709 Old Ballas Rd Ste 100
Saint Louis, MO 63141-7029
Phone
(314) 432-0960
NPI assigned
Dec 8, 2020
Organization subpart
No

Authorized official

Name
Carl Graves, DDS
Title
DDS
Phone
(314) 432-0960

Practitioners 2

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

National Provider Directory

Locations

11709 Old Ballas Rd
Ste 100
Saint Louis, MO 63141
Phone (314) 432-0960

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

11709 Old Ballas Rd Ste 100
Saint Louis, MO 63141-7029

Mailing address

11709 Old Ballas Rd Ste 100
Saint Louis, MO 63141-7029
Phone (314) 432-0960

Other names

  • DENTAL PARTNERS OF CREVE COEUR Doing business as

Other providers in Saint Louis, MO

All providers in Saint Louis, MO · General Practice Dentistry in Missouri

Sources for this page

Verify at the official NPI Registry.