Bryan Watanabe DDS Ladue Dental Group, PC
Organization Active NPI General Practice Dentistry · Ladue, MO
NPI 1851784490 · NPPES record last updated Mar 6, 2015
Key facts
- NPI
- 1851784490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- BRYAN WATANABE DDS LADUE DENTAL GROUP, PC
- Practice address
- 8859 Ladue Road
Ladue, MO 63124 - Phone
- (314) 983-8011
- Fax
- (314) 983-8112
- NPI assigned
- Mar 6, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Bryan K Watanabe, DDS
- Title
- Owner
- Phone
- (314) 983-8011
Practitioners 10
-
Brent Lee Crenshaw, DMD
-
Vivian Finerty, DMD
-
Erin Corsi Fraundorf, DMD, MS
-
Albana Simoni, DDS
-
Adnan Syed, DDS
-
Brian L Mowrey, DDS
-
Bailey Walker, D.M.D.
National Provider Directory
Locations
8859 Ladue Rd
Saint Louis, MO 63124
Phone (314) 983-8011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
8859 Ladue Road
Ladue, MO 63124
Mailing address
17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 945-8890
Other names
- Ladue Dental Group
Other providers in Ladue, MO
- Axivarx of Missouri LLC
- Carl a. Lyss, MD, LLC
- Michelle Ann Charbonnier
- City of Ladue
- Clarkson Optometry Inc
- Stanley Greenburg
All providers in Ladue, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.