Padmini R Muddasani, DDS, MS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · O'Fallon, MO
NPI 1659486249 · NPPES record last updated Nov 10, 2009
Key facts
- NPI
- 1659486249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- DE015883 (MO)
- Practice address
- 2410 Hwy K
O'Fallon, MO 63368 - Phone
- (636) 978-8381
- Fax
- (636) 272-2377
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE015883 | MO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DE015883 | MO | Yes |
Addresses
Primary practice location
2410 Hwy K
O'Fallon, MO 63368
Mailing address
2410 Hwy K
O'Fallon, MO 63368
Phone (636) 978-8381
Other providers in O'Fallon, MO
- Missouri CVS Pharmacy, L.L.C.
- Deanna Moody
- Jessica Anne Morris
- Catherine Rose Most
- Sarah Marie Mudd
- National Vision Inc
- Outreach Specialty Physicians LLC
- Linda R Partridge
- Physician Groups LC
- Physician Groups LC
All providers in O'Fallon, MO · Orthodontics and Dentofacial Orthopedics 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 Nov 10, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.