OrganizationActive
Greif Ruvinov Dental Care, LLC
NPI 1790276764 · Dentist · O Fallon, MO
Greif Ruvinov Dental Care, LLC is a Dentist organization in O Fallon, MO (NPI 1790276764).
Provider details
- NPI number
- 1790276764
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Stacy Martin, Office Manager(636) 240-1750
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
31 Ofallon Sq
O Fallon, MO 63366-3034
Phone: (636) 240-1750
Fax: (636) 389-5442
Street-level locationGet directions
Mailing address
31 Ofallon Sq
O Fallon, MO 63366-3034
Other names (DBA / former)
- Doing business as
- Brookside Family Dentistry
Registry dates
- Enumerated
- 2018-05-24
- Last updated
- 2018-05-24
Frequently asked questions
- What is Greif Ruvinov Dental Care, LLC's NPI number?
- Greif Ruvinov Dental Care, LLC's National Provider Identifier (NPI) is 1790276764, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Greif Ruvinov Dental Care, LLC?
- Greif Ruvinov Dental Care, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Greif Ruvinov Dental Care, LLC located?
- Greif Ruvinov Dental Care, LLC's practice location on file with NPPES is 31 Ofallon Sq, O Fallon, MO 63366-3034.
- What is Greif Ruvinov Dental Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Greif Ruvinov Dental Care, LLC is (636) 240-1750.
- Who is the authorized official for Greif Ruvinov Dental Care, LLC?
- The authorized official listed on Greif Ruvinov Dental Care, LLC's NPPES record is Stacy Martin, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Greif Ruvinov Dental Care, LLC's NPI active?
- Yes — Greif Ruvinov Dental Care, LLC's NPI (1790276764) is active in the NPPES registry as of the last update on 2018-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.