IndividualActive
Edward Shaheen, DDS
NPI 1306115647 · Orthodontics and Dentofacial Orthopedics Dentistry · Saint Louis, MO
Provider details
- NPI number
- 1306115647
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 012428 (MO)
Specialties & taxonomies
Dental Providers
Practice location
10363 Clayton Rd
Saint Louis, MO 63131-2907
Phone: (314) 991-0697
Fax: (314) 991-3436
Approximate (ZIP-level) locationGet directions
Mailing address
10363 Clayton Rd
Saint Louis, MO 63131-2907
Registry dates
- Enumerated
- 2011-12-15
- Last updated
- 2011-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.