OrganizationActive
St. Louis Pediatric Dentistry
NPI 1629366760 · Pediatric Dentistry · O Fallon, MO
St. Louis Pediatric Dentistry is a Pediatric Dentistry organization in O Fallon, MO (NPI 1629366760).
Provider details
- NPI number
- 1629366760
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lindsey Reed, Pediatric Dentist/Owner of Practice(636) 205-4639
- License
- 2010006281 (MO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
4142 Keaton Crossing Blvd
Suite 102
O Fallon, MO 63368-8404
Phone: (636) 205-4639
Fax: (314) 594-0742
Street-level locationGet directions
Mailing address
4142 Keaton Crossing Blvd
O Fallon, MO 63368-8404
Registry dates
- Enumerated
- 2011-07-11
- Last updated
- 2011-07-11
Frequently asked questions
- What is St. Louis Pediatric Dentistry's NPI number?
- St. Louis Pediatric Dentistry's National Provider Identifier (NPI) is 1629366760, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Louis Pediatric Dentistry?
- St. Louis Pediatric Dentistry is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is St. Louis Pediatric Dentistry located?
- St. Louis Pediatric Dentistry's practice location on file with NPPES is 4142 Keaton Crossing Blvd, O Fallon, MO 63368-8404.
- What is St. Louis Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for St. Louis Pediatric Dentistry is (636) 205-4639.
- Who is the authorized official for St. Louis Pediatric Dentistry?
- The authorized official listed on St. Louis Pediatric Dentistry's NPPES record is Lindsey Reed, Pediatric Dentist/Owner of Practice. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Louis Pediatric Dentistry's NPI active?
- Yes — St. Louis Pediatric Dentistry's NPI (1629366760) is active in the NPPES registry as of the last update on 2011-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.