William G. Dewert, DMD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12134 Issued in MO

Legal business name

WILLIAM G. DEWERT, DMD, LLC

Practice address

12758 Boenker LN
Bridgeton, MO 63044-2436

Phone

(314) 739-3300

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William G Dewert, D.M.D.

Title

Member

Phone

(314) 739-3300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457552697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12758 BOENKER LN",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12758 BOENKER LN",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442436",
            "telephone_number": "314-739-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM G. DEWERT, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEWERT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "314-739-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "12134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Wilde, PT
• Stacy M Wiley, NURSE PRACTITIONER
• Jenna Avery Wilken, BSN, RN, CCRN
• Dorothy M Wilkes, RPH, PHARMD
• Mignon Jennille Wilkins-Oldham
• William Wang LLC
• Amya Williams
• Caitlyn Rae Williams
• Phillip Raymond Williams, BA
• Rachel Latoya Williams, MA

• General Practice Dentistry in Bridgeton, MO
• Providers in Bridgeton, 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 Aug 22, 2020; 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.