Hiba Aslam, DMD
Individual provider Active NPI Dentist · Creve Coeur, MO
NPI 1992693717 · NPPES record last updated Jun 27, 2025
Key facts
- NPI
- 1992693717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2025025540 (MO)
- Practice address
- 605 Old Ballas Rd Ste 118
Creve Coeur, MO 63141-7070 - Phone
- (904) 923-2086
- NPI assigned
- Jun 27, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025025540 | MO | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2025025540 | MO | Yes |
Addresses
Primary practice location
605 Old Ballas Rd Ste 118
Creve Coeur, MO 63141-7070
Mailing address
645 Port Charlotte Dr
Ponte Vedra, FL 32081-0529
Phone (904) 923-2086
Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2025. 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.