Deco Dental

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

1807416-2 Issued in MO

Legal business name

DECO DENTAL

Practice address

1391 Smizer Mill Rd
Fenton, MO 63026-7306

Phone

(636) 349-2400

NPI assigned

May 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adam DecotaNPI 1669694071

Title

Dentist

Phone

(636) 349-2400

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, and the practitioner matching its NPPES authorized official.

• Adam Decota, D.D.S.

  • General Practice Dentistry
  • Fenton, MO
  • NPI 1669694071
  Authorized official Same address or phone

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760690614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 SMIZER MILL RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630267306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 SMIZER MILL RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630267306",
            "telephone_number": "636-349-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DECOTA",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "636-349-2400"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MO",
            "license": "1807416-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Ryan Davidson, M.D.
• Allison K Davis, M.D.
• Davis, Wright, Berdy & Suffian PC (Allergy Consultants)
• Dawn McFarland PSYD LLC
• Day Optometry, Inc. (Fenton Family Eyecare)
• Adam Decota, D.D.S.
• Jennifer Decota, D.D.S.
• Kelly L Degeare, MSW, LCSW
• Delmar Gardens of Meramec Valley Operating, LLC (Delmar Gardens of Meramec Valley)
• Delta Health

• Point of Service in Fenton, MO
• Providers in Fenton, MO by specialty
• Point of Service in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.