OrganizationActive
Periodontics Ltd
NPI 1124212790 · Periodontics · Saint Louis, MO
Provider details
- NPI number
- 1124212790
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- George Duello, Dr.(314) 965-3271
- License
- 013097 (MO)
Specialties & taxonomies
Dental Providers
Practice location
3555 Sunset Office Dr Ste C105
Saint Louis, MO 63127-1014
Phone: (314) 965-3271
Fax: (314) 965-8113
Approximate (ZIP-level) locationGet directions
Mailing address
3555 Sunset Office Dr Ste C105
Saint Louis, MO 63127-1014
Other names (DBA / former)
- Former legal business name
- George V. Duello
Registry dates
- Enumerated
- 2007-08-28
- Last updated
- 2007-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.