OrganizationActive
Matt St George Inc
NPI 1336689660 · General Practice Dentistry · Fulton, MO
Matt St George Inc is a General Practice Dentistry organization in Fulton, MO (NPI 1336689660).
Provider details
- NPI number
- 1336689660
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Matthew St George, Owner(573) 642-6904
- License
- 2008014167 (MO)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
603 Nichols St
Fulton, MO 65251-2650
Phone: (573) 642-6904
Fax: (573) 642-7256
Street-level locationGet directions
Mailing address
603 Nichols St
Fulton, MO 65251-2650
Other names (DBA / former)
- Doing business as
- St George Family Dental
Registry dates
- Enumerated
- 2017-03-06
- Last updated
- 2017-03-06
Frequently asked questions
- What is Matt St George Inc's NPI number?
- Matt St George Inc's National Provider Identifier (NPI) is 1336689660, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Matt St George Inc?
- Matt St George Inc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Matt St George Inc located?
- Matt St George Inc's practice location on file with NPPES is 603 Nichols St, Fulton, MO 65251-2650.
- What is Matt St George Inc's phone number?
- The practice phone number listed in the NPPES registry for Matt St George Inc is (573) 642-6904.
- Who is the authorized official for Matt St George Inc?
- The authorized official listed on Matt St George Inc's NPPES record is Matthew St George, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Matt St George Inc's NPI active?
- Yes — Matt St George Inc's NPI (1336689660) is active in the NPPES registry as of the last update on 2017-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.