OrganizationActive
Pld of South City PC
NPI 1871479758 · General Practice Dentistry · Saint Louis, MO
Pld of South City PC is a General Practice Dentistry organization in Saint Louis, MO (NPI 1871479758).
Provider details
- NPI number
- 1871479758
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michael Travis, Owner(314) 635-0822
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
3859 Gravois Ave
Saint Louis, MO 63116-4657
Phone: (314) 382-2000
Fax: (314) 382-2411
Street-level locationGet directions
Mailing address
3708 Jennings Station Rd
Saint Louis, MO 63121-3500
Other names (DBA / former)
- Doing business as
- Pine Lawn Dental
Registry dates
- Enumerated
- 2025-08-14
- Last updated
- 2026-05-07
- Certified
- 2026-05-07
Frequently asked questions
- What is Pld of South City PC's NPI number?
- Pld of South City PC's National Provider Identifier (NPI) is 1871479758, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pld of South City PC?
- Pld of South City PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Pld of South City PC located?
- Pld of South City PC's practice location on file with NPPES is 3859 Gravois Ave, Saint Louis, MO 63116-4657.
- What is Pld of South City PC's phone number?
- The practice phone number listed in the NPPES registry for Pld of South City PC is (314) 382-2000.
- Who is the authorized official for Pld of South City PC?
- The authorized official listed on Pld of South City PC's NPPES record is Michael Travis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pld of South City PC's NPI active?
- Yes — Pld of South City PC's NPI (1871479758) is active in the NPPES registry as of the last update on 2026-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.