OrganizationActive
Boulevard Dental Care L.L.C.
NPI 1831247048 · General Practice Dentistry · Saint Charles, MO
Provider details
- NPI number
- 1831247048
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Randall Reyes, Manager(636) 939-6868
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2645 Muegge Rd
Saint Charles, MO 63303-3145
Phone: (636) 939-6868
Fax: (636) 447-3611
Street-level locationGet directions
Mailing address
11939 Manchester Rd
Des Peres, MO 63131-4502
Registry dates
- Enumerated
- 2007-01-07
- Last updated
- 2007-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.