Brentwood Family Dental Center, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

016129 Issued in MO

Legal business name

BRENTWOOD FAMILY DENTAL CENTER, LLC

Practice address

8083 Manchester Rd
Saint Louis, MO 63144-2817

Phone

(314) 647-1100

Fax

(314) 647-1120

NPI assigned

Aug 27, 2007

Last updated

Aug 27, 2007By 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

Dr. Kirk Quigless Sr., D.D.S.NPI 1366507014

Title

Owner

Phone

(314) 647-1100

Specialties & licenses 1

Addresses

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.

• Kirk Quigless, DDS

  • General Practice Dentistry
  • Brentwood, MO
  • NPI 1366507014
  NPD (past) Authorized official

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1811180540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8083 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631442817",
            "telephone_number": "314-647-1100",
            "fax_number": "314-647-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8083 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631442817",
            "telephone_number": "314-647-1100",
            "fax_number": "314-647-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD FAMILY DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "QUIGLESS",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-647-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "016129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent R Palmer LC
• Nicole Brentlinger
• Brentmoor Delmar - Spvef, LLC (Brentmoor Retirement Community)
• Brentmoor Retirement Community
• Brentwood Family Chiropractic Center, LLC
• Brentwood Painstop LLC
• Brentwood Pediatrics PC
• Brentwood Physical Therapy Limited (Brentwood Center Of Health)
• Alexander Angelo Brescia, MD
• Carol Zarinelli Brescia, L.C.S.W.

• General Practice Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.