Midwest Mobile Dentistry Llc

LBN: Midwest Mobile Dentistry Llc
Midwest Mobile Dentistry Llc is an health care organization with primary practice located at 1 N Brentwood Blvd Ste 1000 , Saint Louis MO 63105-3937. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Midwest Mobile Dentistry Llc can be contacted via phone (225) 287-8765, or through Graham, Jeremy Gordon via phone (225) 287-8765.

Contact Information

Primary practice address
1 N Brentwood Blvd Ste 1000 Saint Louis MO 63105-3937
Phone: (225) 287-8765
Fax: (615) 225-8915
Website:
Map and Directions
Authorized official contact:
Name: Graham, Jeremy Gordon Doctor of Dental Surgery (DDS)
Phone: (225) 287-8765

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X Missouri

Profile Details

NPI number 1417477985
LBN Legal business name Midwest Mobile Dentistry Llc
DBA Doing business as
Authorized official Graham, Jeremy Gordon Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers