OrganizationActive
Advanced Dentistry of O'Fallon LLC
NPI 1750176103 · General Practice Dentistry · O Fallon, MO
Provider details
- NPI number
- 1750176103
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Authorized official
- Stacey Barnes, Practice Manager
Mailing address
2990 Highway K
O Fallon, MO 63368-7861
Registry dates
- Enumerated
- 2025-04-14
- Last updated
- 2025-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.