OrganizationActive
Provide Dental
NPI 1124990601 · Dental Clinic/Center · Chesterfield, MO
Provide Dental is a Dental Clinic/Center organization in Chesterfield, MO (NPI 1124990601).
Provider details
- NPI number
- 1124990601
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Provide Dental
- Organization subpart
- Yes
- Authorized official
- Philip Son, Dentist(323) 787-9397
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
13371 Olive Blvd # 3108
Chesterfield, MO 63017-3108
Phone: (314) 878-5544
Street-level locationGet directions
Mailing address
13371 Olive Blvd # 3108
Chesterfield, MO 63017-3108
Other names (DBA / former)
- Doing business as
- Provide Dental- Chesterfield
Registry dates
- Enumerated
- 2025-09-23
- Last updated
- 2025-09-23
- Certified
- 2025-09-23
Frequently asked questions
- What is Provide Dental's NPI number?
- Provide Dental's National Provider Identifier (NPI) is 1124990601, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provide Dental?
- Provide Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Provide Dental located?
- Provide Dental's practice location on file with NPPES is 13371 Olive Blvd # 3108, Chesterfield, MO 63017-3108.
- What is Provide Dental's phone number?
- The practice phone number listed in the NPPES registry for Provide Dental is (314) 878-5544.
- Who is the authorized official for Provide Dental?
- The authorized official listed on Provide Dental's NPPES record is Philip Son, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provide Dental's NPI active?
- Yes — Provide Dental's NPI (1124990601) is active in the NPPES registry as of the last update on 2025-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.