Senior Care Dentistry

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SENIOR CARE DENTISTRY

Practice address

3535 S Jefferson Ave Ste 302
Saint Louis, MO 63118-3935

Phone

(314) 268-6135

Fax

(314) 268-6117

NPI assigned

Jan 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Dednam Sr., D.M.D.

Title

C.E.O./President

Phone

(314) 268-6135

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1457599664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 S JEFFERSON AVE STE 302",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183935",
            "telephone_number": "314-268-6135",
            "fax_number": "314-268-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S JEFFERSON AVE STE 302",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183935",
            "telephone_number": "314-268-6135",
            "fax_number": "314-268-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "DEDNAM",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "C.E.O./PRESIDENT",
        "authorized_official_telephone_number": "314-268-6135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Mary Senay, LMSW
• Donna Nicole Senciboy, DO
• Sirivan Suon Seng, M.D.
• Alok K Sengupta, MD
• Senior Age Care LLC
• Senior Doc Missouri PC
• Senior Residential, LLC
• Senior Source, LLC
• Senior Transitional Accommodations & Recreation, LLC
• Seniors Home Care LLC

• Dentist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.