IndividualActive
Alan Mundhenke, DMD
NPI 1174043061 · Dentist · Saint Louis, MO
Provider details
- NPI number
- 1174043061
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2017019882 (MO)
Specialties & taxonomies
Dental Providers
Practice location
915 N Grand Blvd
Saint Louis, MO 63106-1621
Phone: (314) 652-4100
Approximate (ZIP-level) locationGet directions
Mailing address
3410 Hartford St
Saint Louis, MO 63118-2011
Registry dates
- Enumerated
- 2017-06-22
- Last updated
- 2024-09-17
- Certified
- 2024-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.