St Louis South Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2013009439 Issued in MO

Legal business name

ST LOUIS SOUTH ORTHODONTICS

Practice address

9911 Kennerly Rd Ste H
Saint Louis, MO 63128-2700

Phone

(314) 843-5583

Fax

(314) 843-6495

NPI assigned

Dec 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Senthil N Arun, DMD

Title

Owner

Phone

(706) 288-7538

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1699281121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9911 KENNERLY RD STE H",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282700",
            "telephone_number": "314-843-5583",
            "fax_number": "314-843-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9911 KENNERLY RD STE H",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282700",
            "telephone_number": "314-843-5583",
            "fax_number": "314-843-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LOUIS SOUTH ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "ARUN",
        "authorized_official_first_name": "SENTHIL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-288-7538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2013009439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.