IndividualActive
Stewart Moreland, DMD
NPI 1417060138 · Oral and Maxillofacial Pathology Dentistry · St. Louis, MO
Provider details
- NPI number
- 1417060138
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 14036 (MO)
Specialties & taxonomies
Dental Providers
Practice location
2821 N Ballas Rd
Suite 225
St. Louis, MO 63131-2321
Phone: (314) 569-1012
Fax: (314) 569-1103
Approximate (ZIP-level) locationGet directions
Mailing address
2821 N Ballas Rd
St. Louis, MO 63131-2321
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2008-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.