OrganizationActive
Midwest Mobile Dentistry LLC
NPI 1417477985 · Dental Clinic/Center · Saint Louis, MO
Midwest Mobile Dentistry LLC is a Dental Clinic/Center organization in Saint Louis, MO (NPI 1417477985).
Provider details
- NPI number
- 1417477985
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeremy Graham, Owner/Ceo(225) 287-8765
Specialties & taxonomies
Ambulatory Health Care Facilities
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
1 N Brentwood Blvd Ste 1000
Saint Louis, MO 63105-3937
Phone: (225) 287-8765
Fax: (615) 225-8915
Street-level locationGet directions
Mailing address
1 North Brentwood Boulevard
St Louis, MO 63105
Registry dates
- Enumerated
- 2017-06-26
- Last updated
- 2022-07-21
Frequently asked questions
- What is Midwest Mobile Dentistry LLC's NPI number?
- Midwest Mobile Dentistry LLC's National Provider Identifier (NPI) is 1417477985, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Midwest Mobile Dentistry LLC?
- Midwest Mobile Dentistry LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Midwest Mobile Dentistry LLC located?
- Midwest Mobile Dentistry LLC's practice location on file with NPPES is 1 N Brentwood Blvd Ste 1000, Saint Louis, MO 63105-3937.
- What is Midwest Mobile Dentistry LLC's phone number?
- The practice phone number listed in the NPPES registry for Midwest Mobile Dentistry LLC is (225) 287-8765.
- Who is the authorized official for Midwest Mobile Dentistry LLC?
- The authorized official listed on Midwest Mobile Dentistry LLC's NPPES record is Jeremy Graham, Owner/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Midwest Mobile Dentistry LLC's NPI active?
- Yes — Midwest Mobile Dentistry LLC's NPI (1417477985) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.