OrganizationActive
Westport Periodontics P.C.
NPI 1902953391 · Periodontics · Saint Louis, MO
Provider details
- NPI number
- 1902953391
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- George Kyd, President(314) 434-4676
Specialties & taxonomies
Dental Providers
Practice location
77 Westport Plz
Suite 367
Saint Louis, MO 63146-3107
Phone: (314) 434-4676
Fax: (314) 434-6806
Approximate (ZIP-level) locationGet directions
Mailing address
77 Westport Plz
Saint Louis, MO 63146-3107
Registry dates
- Enumerated
- 2007-01-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.