NPIMap

Organization Active NPI

Hebert DMD, Brown DMD & Associates, LLC, Dba Lifesmile Dental Care

  • Dental Clinic/Center
  • Hazelwood, MO
National Provider Identifier
1447419684
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE013034 Issued in MO
Legal business name
HEBERT DMD, BROWN DMD & ASSOCIATES, LLC, DBA LIFESMILE DENTAL CARE
Practice address
8430 Pershall Rd
Hazelwood, MO 63042-3075
Phone
(314) 521-5678
Fax
(314) 521-0283
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Dr. Sally K Hebert, DMD
Title
President
Phone
(314) 521-5678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE013034 MO Primary

Addresses

Primary practice location

8430 Pershall Rd
Hazelwood, MO 63042-3075

Mailing address

PO Box 487
Hazelwood, MO 63042-0487
Phone (314) 521-5678

National Provider Directory

National Provider Directory

Locations

8430 Pershall Rd
Hazelwood, MO 63042
Phone (314) 521-5678

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1447419684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630420487",
            "telephone_number": "314-521-5678",
            "fax_number": "314-521-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 PERSHALL RD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630423075",
            "telephone_number": "314-521-5678",
            "fax_number": "314-521-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBERT DMD, BROWN DMD & ASSOCIATES, LLC, DBA LIFESMILE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-521-5678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "DE013034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.