Dennis Senderovich D.D.S., P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

2002011686 Issued in MO

Legal business name

DENNIS SENDEROVICH D.D.S., P.C.

Doing business as

O'Fallon Dental Care

Practice address

9979 Winghaven Blvd Ste 202
O Fallon, MO 63368-3628

Phone

(636) 561-7072

NPI assigned

Dec 6, 2007

Last updated

Dec 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dennis Senderovich, DDSNPI 1811045446

Title

President

Phone

(636) 561-7072

Specialties & licenses 1

Addresses

Other names 1

• O'Fallon Dental Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dennis Senderovich, D.D.S.

  • General Practice Dentistry
  • O'Fallon, MO
  • NPI 1811045446
  Authorized official Same address or phone

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1558544155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9979 WINGHAVEN BLVD STE 202",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683628",
            "telephone_number": "636-561-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9979 WINGHAVEN BLVD STE 202",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683628",
            "telephone_number": "636-561-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS SENDEROVICH D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "SENDEROVICH",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-561-7072",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "2002011686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "O'Fallon Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Degeeter, PT
• Delmar Gardens of O'Fallon, LLC (Delmar Gardens of O'Fallon)
• Tara Nicole Demand, RN
• Alexander Dematteis IV, ED.D.
• Curtis Edmund Denham, LPC
• Dental Safari Co Missouri, PC
• Scott Deppong, M.ED.
• Katherine Michelle Derickson, PHARM.D.
• Dermatology at Winghaven, LLC
• Mrinali Aannaaand Deshpande

• Dentist in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.