Edward Lee St.Peters, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

707 Berkshire Blvd
Suite 230
East Alton, IL 62024-1326

Phone

(618) 259-7952

NPI assigned

May 14, 2007

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962618447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 BERKSHIRE BLVD",
            "address_2": "SUITE 230",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620241326",
            "telephone_number": "618-259-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 BERKSHIRE BLVD",
            "address_2": "SUITE 230",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620241326",
            "telephone_number": "618-259-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST.PETERS",
        "first_name": "EDWARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Seymour, PTA
• Sottoriva Chiropractic
• Charles Henry Sottoriva, D.C.
• Southern Illinois Healthcare Foundation Inc
• Southern Illinois Healthcare Foundation, Inc.
• Tad J Steinhauer, D.M.D.
• Heather L Strebel, M.S. CCC-SLP
• Christopher Dean Suhre, MD
• Sathien Suntra, M.D., FACS
• TGW Management PLLC

• All providers in East Alton, IL
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.