IndividualActive
Thomas Lease, DDS, MSD
NPI 1104905892 · Periodontics · Saint Louis, MO
Provider details
- NPI number
- 1104905892
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS, MSD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 011766 (MO)
Specialties & taxonomies
Dental Providers
Practice location
443 N New Ballas Rd
Ste. 215
Saint Louis, MO 63141-6800
Phone: (314) 567-4430
Fax: (314) 567-3014
Approximate (ZIP-level) locationGet directions
Mailing address
443 N New Ballas Rd
Saint Louis, MO 63141-6800
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.