Megan Michelle Guletz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2017017261 Issued in MO

Practice address

12 Hutchinson Rd
Ellisville, MO 63011-5702

Phone

(636) 391-0122

Fax

(636) 391-0132

NPI assigned

Jun 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• STL Family Dentistry Inc.

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1720252398
  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1992235899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HUTCHINSON RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630115702",
            "telephone_number": "636-391-0122",
            "fax_number": "636-391-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HUTCHINSON RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630115702",
            "telephone_number": "636-391-0122",
            "fax_number": "636-391-0132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Hampton Village Plz",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631092128",
            "country_code": "US",
            "telephone_number": "314-353-1851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULETZ",
        "first_name": "MEGAN",
        "middle_name": "MICHELLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2017017261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Goldfarb
• Laura K Grace, LPC
• Abigail Groos, PA-C
• Timothy Jon Grybinas, DDS
• David G Guckes, L.P.C.
• Mollie Jo Gulino, WHNP, DNP
• Laura Elizabeth Gunter, MA LPC
• Allison Hall, LCSW
• Paul Hallemann, PT
• Heather Hanvy, MA, LPC, CRC, NCC

• General Practice Dentistry in Ellisville, MO
• Providers in Ellisville, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.