Twin Oaks Dental Studio LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

TWIN OAKS DENTAL STUDIO LLC

Practice address

830 Meramec Station Rd
Valley Park, MO 63088-1146

Phone

(314) 330-2277

NPI assigned

Aug 16, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Clark, DDSNPI 1164806055

Title

General Dentist

Phone

(314) 330-2277

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Anthony Clark, D.D.S.

  • Dentist
  • Fenton, MO
  • NPI 1164806055
  NPD Authorized official

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1700504628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CRYSTAL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631313231",
            "telephone_number": "314-330-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 MERAMEC STATION RD",
            "city": "VALLEY PARK",
            "state": "MO",
            "postal_code": "630881146",
            "telephone_number": "314-330-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN OAKS DENTAL STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "314-330-2277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Valley Park, MO
• Providers in Valley Park, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.