OrganizationActive
Saint Louis University
NPI 1104377431 · Dental Clinic/Center · Saint Louis, MO
Provider details
- NPI number
- 1104377431
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Stoeckel, Program Director-Pediatric Dentistr(314) 977-8517
- License
- 2000174326 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
3320 Rutger St
Saint Louis, MO 63104-1122
Phone: (314) 977-7336
Fax: (314) 977-8617
Street-level locationGet directions
Mailing address
3320 Rutger St
Saint Louis, MO 63104-1122
Other names (DBA / former)
- Doing business as
- Cardinal Glennon Pediatric Dental Specialties at Saint Louis Univ
Registry dates
- Enumerated
- 2016-10-21
- Last updated
- 2016-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.