Lakeview Dental LLC
Organization Active NPI General Practice Dentistry · O'Fallon, MO
NPI 1881801249 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1881801249
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 015604 (MO)
- Legal business name
- LAKEVIEW DENTAL LLC
- Practice address
- 2141 West Terra Lane
O'Fallon, MO 63366 - Phone
- (636) 332-3322
- Fax
- (636) 639-9384
- NPI assigned
- May 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Jennifer Plessner, D.D.S.
- Title
- Owner
- Phone
- (636) 332-3322
Practitioners 1
-
Jennifer A. Plessner, D.D.S.
National Provider Directory
Locations
2141 W Terra Ln
O Fallon, MO 63366
Phone (636) 332-3322
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 015604 | MO | Yes |
Addresses
Primary practice location
2141 West Terra Lane
O'Fallon, MO 63366
Mailing address
2141 West Terra Lane
O'Fallon, MO 63366
Phone (636) 332-3322
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- Midwest Acute Care Consultants PC
- Missouri CVS Pharmacy LLC
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All providers in O'Fallon, 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 Aug 22, 2020. 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.