Jeffrey B Dalin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13310 Issued in MO

Practice address

11722 Studt Ave
Creve Coeur, MO 63141-7075

Phone

(314) 567-5612

Fax

(314) 567-9047

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689737264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11722 STUDT AVE",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417075",
            "telephone_number": "314-567-5612",
            "fax_number": "314-567-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11722 STUDT AVE",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417075",
            "telephone_number": "314-567-5612",
            "fax_number": "314-567-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALIN",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "13310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Cvijic, PA-C
• D Troy Curry MD LLC
• Stacey D'Aquila
• Lisa Ann Dahlgren, PH. D.
• Dalin Dental Associates
• Lyly Dang, NP
• Daniel R. Pernoud, DDS, LLC
• Caylie Christine Daniels
• Peter G Danis, MD
• Nigel B Darvell, M.S.W., L.C.S.W.

• General Practice Dentistry in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.