Active NPI
Gregory L Palozola DDS PC
- General Practice Dentistry
- Saint Louis, MO
National Provider Identifier
1790990232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 014400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory L Palozola, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Saint Louis, MO
- NPI 1821131566
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.