Carolina Guillen del Castillo, DMD
Individual provider Active NPI General Practice Dentistry · Potosi, MO
NPI 1538095674 · NPPES record last updated Jun 18, 2026
Key facts
- NPI
- 1538095674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2026025180 (MO)
- Practice address
- 1 Southtowne Dr
Potosi, MO 63664-5729 - Phone
- (573) 438-9355
- NPI assigned
- Jun 18, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Dentist
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11616 SW 234TH St
Homestead, FL 33032-6278
1921 S 9TH St
Saint Louis, MO 63104-3931
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2026025180 | MO | Yes |
Addresses
Primary practice location
1 Southtowne Dr
Potosi, MO 63664-5729
Mailing address
210 S 12TH St Apt 11P
Philadelphia, PA 19107-6324
Other providers in Potosi, MO
- Penny Kaye Grechus
- Greenlee Chiropractic Inc.
- Gary Lynn Greenlee Jr.
- Steven John Grouse
- Terry Guiley
- Julie Marie Hahn
- Holly Harrell
- Nedra G. Harrington
- Matthew Eugene Hart
- James Hawk
All providers in Potosi, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.