OrganizationActive
Provide Dental
NPI 1760253694 · Dental Clinic/Center · Saint Louis, MO
Provide Dental is a Dental Clinic/Center organization in Saint Louis, MO (NPI 1760253694).
Provider details
- NPI number
- 1760253694
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Philip Son, Owner/ General Dentist(323) 787-9397
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
2211 Olive St Ste 100
Saint Louis, MO 63103-1502
Phone: (314) 776-7100
Street-level locationGet directions
Mailing address
2309 Barrett Place Ct
Ballwin, MO 63021-7829
Registry dates
- Enumerated
- 2024-01-10
- Last updated
- 2024-01-10
- Certified
- 2024-01-10
Frequently asked questions
- What is Provide Dental's NPI number?
- Provide Dental's National Provider Identifier (NPI) is 1760253694, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provide Dental?
- Provide Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Provide Dental located?
- Provide Dental's practice location on file with NPPES is 2211 Olive St Ste 100, Saint Louis, MO 63103-1502.
- What is Provide Dental's phone number?
- The practice phone number listed in the NPPES registry for Provide Dental is (314) 776-7100.
- Who is the authorized official for Provide Dental?
- The authorized official listed on Provide Dental's NPPES record is Philip Son, Owner/ General Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provide Dental's NPI active?
- Yes — Provide Dental's NPI (1760253694) is active in the NPPES registry as of the last update on 2024-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.