OrganizationActive
Mo Specialty Dental Services, LLC
NPI 1811624141 · Pediatric Dentistry · O Fallon, MO
Mo Specialty Dental Services, LLC is a Pediatric Dentistry organization in O Fallon, MO (NPI 1811624141).
Provider details
- NPI number
- 1811624141
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Charlotte Dasch, Director of Provider Relations(504) 638-0303
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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 Ste 10
O Fallon, MO 63368-8404
Phone: (636) 244-2620
Street-level locationGet directions
Mailing address
1610 54th Ave N Ste 205
Nashville, TN 37209-1442
Registry dates
- Enumerated
- 2022-08-05
- Last updated
- 2022-08-05
- Certified
- 2022-08-05
Frequently asked questions
- What is Mo Specialty Dental Services, LLC's NPI number?
- Mo Specialty Dental Services, LLC's National Provider Identifier (NPI) is 1811624141, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mo Specialty Dental Services, LLC?
- Mo Specialty Dental Services, LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Mo Specialty Dental Services, LLC located?
- Mo Specialty Dental Services, LLC's practice location on file with NPPES is 4142 Keaton Crossing Blvd Ste 10, O Fallon, MO 63368-8404.
- What is Mo Specialty Dental Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mo Specialty Dental Services, LLC is (636) 244-2620.
- Who is the authorized official for Mo Specialty Dental Services, LLC?
- The authorized official listed on Mo Specialty Dental Services, LLC's NPPES record is Charlotte Dasch, Director of Provider Relations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mo Specialty Dental Services, LLC's NPI active?
- Yes — Mo Specialty Dental Services, LLC's NPI (1811624141) is active in the NPPES registry as of the last update on 2022-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.