OrganizationActive
Numpol Dejtiranukul DMD LLC
NPI 1043479215 · General Practice Dentistry · O Fallon, MO
Numpol Dejtiranukul DMD LLC is a General Practice Dentistry organization in O Fallon, MO (NPI 1043479215).
Provider details
- NPI number
- 1043479215
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Numpol Dejtiranukul, Single Member(636) 300-4280
- License
- 2000170243 (MO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4122 Keaton Crossing Blvd
Suite 101
O Fallon, MO 63368-8218
Phone: (636) 300-4280
Street-level locationGet directions
Mailing address
4122 Keaton Crossing Blvd
O Fallon, MO 63368-8218
Registry dates
- Enumerated
- 2008-06-03
- Last updated
- 2008-06-03
Frequently asked questions
- What is Numpol Dejtiranukul DMD LLC's NPI number?
- Numpol Dejtiranukul DMD LLC's National Provider Identifier (NPI) is 1043479215, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Numpol Dejtiranukul DMD LLC?
- Numpol Dejtiranukul DMD LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Numpol Dejtiranukul DMD LLC located?
- Numpol Dejtiranukul DMD LLC's practice location on file with NPPES is 4122 Keaton Crossing Blvd, O Fallon, MO 63368-8218.
- What is Numpol Dejtiranukul DMD LLC's phone number?
- The practice phone number listed in the NPPES registry for Numpol Dejtiranukul DMD LLC is (636) 300-4280.
- Who is the authorized official for Numpol Dejtiranukul DMD LLC?
- The authorized official listed on Numpol Dejtiranukul DMD LLC's NPPES record is Numpol Dejtiranukul, Single Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Numpol Dejtiranukul DMD LLC's NPI active?
- Yes — Numpol Dejtiranukul DMD LLC's NPI (1043479215) is active in the NPPES registry as of the last update on 2008-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.