Give Kids a Smile, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

1347 Issued in MO

Legal business name

GIVE KIDS A SMILE, INC

Practice address

340 Mid Rivers Mall Dr Ste a
Saint Peters, MO 63376-1581

Phone

(636) 397-6453

Fax

(163) 627-8267

NPI assigned

Sep 16, 2009

Last updated

Sep 16, 2009By 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. Thomas C Flavin, DDS

Title

President

Phone

(636) 397-6453

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1861725236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MID RIVERS MALL DR STE A",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761581",
            "telephone_number": "636-397-6453",
            "fax_number": "163-627-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MID RIVERS MALL DR STE A",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761581",
            "telephone_number": "636-397-6453",
            "fax_number": "163-627-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIVE KIDS A SMILE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "FLAVIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-397-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "1347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleena Ann Giesing, OTR/L
• Lisa Anne Gilbertsen, MA, BCBA, LBA
• Jenisha Giles, MA
• Sharon Gillardi, CRNA
• Donette A Gillespie, RPH
• Jeffrey S Glaser, MD
• Shane Michael Gleaves, PA-C
• Brian Joseph Glen, DO
• Glenfield Memory Care Homes
• Dane A. Glueck, MD

• Dentist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.