Organization Active NPI

David Guilbeault DMD Woods Mill LLC

Doing business as Woods Mill Dental

  • General Practice Dentistry
  • Chesterfield, MO
National Provider Identifier
1639433626
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2000174030 Issued in MO
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.