OrganizationActive
St. Louis Surgical Associates, LLC
NPI 1093064057 · Periodontics · Glen Carbon, IL
St. Louis Surgical Associates, LLC is a Periodontics organization in Glen Carbon, IL (NPI 1093064057).
Provider details
- NPI number
- 1093064057
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- David Guilbeault, Owner(618) 643-9523
- License
- 19025397 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
24 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502
Phone: (618) 655-1580
Street-level locationGet directions
Mailing address
24 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502
Registry dates
- Enumerated
- 2012-09-06
- Last updated
- 2015-11-30
Frequently asked questions
- What is St. Louis Surgical Associates, LLC's NPI number?
- St. Louis Surgical Associates, LLC's National Provider Identifier (NPI) is 1093064057, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Louis Surgical Associates, LLC?
- St. Louis Surgical Associates, LLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is St. Louis Surgical Associates, LLC located?
- St. Louis Surgical Associates, LLC's practice location on file with NPPES is 24 Ginger Creek Pkwy, Glen Carbon, IL 62034-3502.
- What is St. Louis Surgical Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for St. Louis Surgical Associates, LLC is (618) 655-1580.
- Who is the authorized official for St. Louis Surgical Associates, LLC?
- The authorized official listed on St. Louis Surgical Associates, LLC's NPPES record is David Guilbeault, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Louis Surgical Associates, LLC's NPI active?
- Yes — St. Louis Surgical Associates, LLC's NPI (1093064057) is active in the NPPES registry as of the last update on 2015-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.