Organization Active NPI

Gregory L Palozola DDS PC

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1790990232
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
014400 Issued in MO
Legal business name
GREGORY L PALOZOLA DDS PC
Practice address
777 S. New Ballas Road
Suite 330-E
Saint Louis, MO 63141-8790
Phone
(314) 989-1999
Fax
(314) 989-1989
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gregory L Palozola, DDSNPI 1821131566
Title
President
Phone
(314) 989-1999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 014400 MO Primary

Addresses

Primary practice location

777 S. New Ballas Road
Suite 330-E
Saint Louis, MO 63141-8790

Mailing address

777 S. New Ballas Road
Suite 330-E
Saint Louis, MO 63141-8790
Phone (314) 989-1999

National Provider Directory

National Provider Directory

Locations

777 S New Ballas Rd
Ste 330E
Saint Louis, MO 63141
Phone (314) 989-1999

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790990232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S. NEW BALLAS ROAD",
            "address_2": "SUITE 330-E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418790",
            "telephone_number": "314-989-1999",
            "fax_number": "314-989-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S. NEW BALLAS ROAD",
            "address_2": "SUITE 330-E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418790",
            "telephone_number": "314-989-1999",
            "fax_number": "314-989-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY L PALOZOLA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALOZOLA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-989-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "014400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • 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.