Pouredout Dental Group LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

POUREDOUT DENTAL GROUP LLC

Practice address

10777 Sunset Office Dr
Saint Louis, MO 63127-1052

Phone

(573) 261-4399

NPI assigned

Mar 9, 2026

Organization subpart

No

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

Authorized official

Name

Timberlee Minor

Title

Office Manager

Phone

(573) 205-2230

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1821944240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10777 SUNSET OFFICE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271052",
            "telephone_number": "573-261-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10777 SUNSET OFFICE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271052",
            "telephone_number": "573-261-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POUREDOUT DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-08",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "TIMBERLEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-205-2230"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Anne Potts, PLPC
• Sharon Michelle Potts, COTA
• Timothy William Potts
• Catherine J Potzman, LCSW
• Kian Pourak
• James Mark Pousson, M.S.W., L.C.S.W.
• Gillian M Powderly, PHARM.D.
• Julie A Powderly, DPT
• William G Powderly, MD
• Allison Powell, MD

• Dental Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.