NPIMap

Organization Active NPI

William C. Dale, DMD, LLC

  • Dental Clinic/Center
  • Saint Peters, MO
National Provider Identifier
1649437112
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
014742 Issued in MO
Legal business name
WILLIAM C. DALE, DMD, LLC
Practice address
4200 N Cloverleaf Dr
Ste. Q
Saint Peters, MO 63376-6436
Phone
(636) 928-1167
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. William Charles Dale IIINPI 1407065113
Title
Sole Member
Phone
(636) 928-1167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 014742 MO Primary

Addresses

Primary practice location

4200 N Cloverleaf Dr
Ste. Q
Saint Peters, MO 63376-6436

Mailing address

4200 N Cloverleaf Dr
Ste. Q
Saint Peters, MO 63376-6436
Phone (636) 928-1167

National Provider Directory

National Provider Directory

Locations

4200 N Cloverleaf Dr
Ste Q
Saint Peters, MO 63376
Phone (636) 928-1167

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1649437112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N CLOVERLEAF DR",
            "address_2": "STE. Q",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766436",
            "telephone_number": "636-928-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N CLOVERLEAF DR",
            "address_2": "STE. Q",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766436",
            "telephone_number": "636-928-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C. DALE, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "636-928-1167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "014742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.