Endodontics South, LTD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

012432 Issued in MO

Legal business name

ENDODONTICS SOUTH, LTD

Practice address

1431 US Hwy 61 So
Festus, MO 63028

Phone

(636) 933-7001

Fax

(636) 933-7002

NPI assigned

Jul 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Marvin Leigh Speer, DDS MS

Title

Owner

Phone

(636) 933-7001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1770713265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 US HIGHWAY 61",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284109",
            "telephone_number": "636-933-7001",
            "fax_number": "636-933-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 US HWY 61 SO",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "63028",
            "telephone_number": "636-933-7001",
            "fax_number": "636-933-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTICS SOUTH, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "SPEER",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-933-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MO",
            "license": "012432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Elliott, APRN
• Joan M. Ellis, LCSW
• Shafa N Mukhtar Eloud, MD
• Tanner Emring
• Endodontic Associates, LLC
• Julie M Epple, RN., BC., FNP
• Mona Kay Evans, MSW, LCSW
• Experiential Learning ABA LLC
• Eyes on Main, LLC
• Family Options Counseling, Inc.

• Endodontics in Festus, MO
• Providers in Festus, MO by specialty
• Endodontics in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.