Active NPI
David Guilbeault DMD Woods Mill LLC
Doing business as Woods Mill Dental
- General Practice Dentistry
- Chesterfield, MO
National Provider Identifier
1639433626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2000174030
- Legal business name
- DAVID GUILBEAULT DMD WOODS MILL LLC
- Doing business as
- Woods Mill Dental
- Practice address
- 14377 Woodlake Dr
Ste 115
Chesterfield, MO 63017-5735 - Phone
- (314) 469-6300
- NPI assigned
- Jun 25, 2012
- Last updated
- Apr 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Guilbeault, DMD
- Title
- Owner
- Phone
- (618) 248-2038
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2000174030 | MO | Primary |
Addresses
Primary practice location
14377 Woodlake Dr
Ste 115
Chesterfield, MO 63017-5735
Mailing address
1922 Edwardsville Club Plaza CT
Edwardsville, IL 62025-3717
Other names 1
- Woods Mill Dental
National Provider Directory
National Provider DirectoryLocations
14377 Woodlake Dr
Ste 11
Chesterfield, MO 63017
Phone (314) 469-6300
Practitioners & affiliated clinicians
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.
-
- Dentist
- Chesterfield, MO
- NPI 1841394889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429056000000",
"number": "1639433626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 EDWARDSVILLE CLUB PLAZA CT",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620253717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14377 WOODLAKE DR",
"address_2": "STE 115",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175735",
"telephone_number": "314-469-6300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID GUILBEAULT DMD WOODS MILL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-25",
"last_updated": "2015-04-15",
"status": "A",
"authorized_official_last_name": "GUILBEAULT",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-248-2038",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2000174030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Woods Mill Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.