OrganizationActive
Ryan Rader Enterprises DMD LLC
NPI 1255759197 · Periodontics · Creve Coeur, MO
Provider details
- NPI number
- 1255759197
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Ryan Rader, Owner(314) 567-3760
- License
- 2006016236 (MO)
Specialties & taxonomies
Dental Providers
Practice location
11709 Old Ballas Rd
Ste 206
Creve Coeur, MO 63141-7029
Phone: (314) 567-3760
Fax: (314) 567-3929
Approximate (ZIP-level) locationGet directions
Mailing address
11709 Old Ballas Rd
Creve Coeur, MO 63141-7029
Other names (DBA / former)
- Doing business as
- Creve Coeur Periodontics
Registry dates
- Enumerated
- 2014-03-28
- Last updated
- 2014-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.