OrganizationActive
Southside Dental Care, L.L.C.
NPI 1134345093 · General Practice Dentistry · Saint Louis, MO
Southside Dental Care, L.L.C. is a General Practice Dentistry organization in Saint Louis, MO (NPI 1134345093).
Provider details
- NPI number
- 1134345093
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tri Ly, Dentist(314) 865-3838
- License
- 200-101-1347 (MO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3654 Gravois Ave
Saint Louis, MO 63116-4728
Phone: (314) 865-3838
Fax: (314) 865-2419
Street-level locationGet directions
Mailing address
3654 Gravois Ave
Saint Louis, MO 63116-4728
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2020-08-22
Frequently asked questions
- What is Southside Dental Care, L.L.C.'s NPI number?
- Southside Dental Care, L.L.C.'s National Provider Identifier (NPI) is 1134345093, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Dental Care, L.L.C.?
- Southside Dental Care, L.L.C. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Southside Dental Care, L.L.C. located?
- Southside Dental Care, L.L.C.'s practice location on file with NPPES is 3654 Gravois Ave, Saint Louis, MO 63116-4728.
- What is Southside Dental Care, L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Southside Dental Care, L.L.C. is (314) 865-3838.
- Who is the authorized official for Southside Dental Care, L.L.C.?
- The authorized official listed on Southside Dental Care, L.L.C.'s NPPES record is Tri Ly, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Dental Care, L.L.C.'s NPI active?
- Yes — Southside Dental Care, L.L.C.'s NPI (1134345093) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.