William Gordon Dewert, D.M.D.

General Practice Dentistry · Bridgeton, MO

Individual Active NPI

NPI number 1083759518

Practice location

12758 Boenker Ln
Bridgeton, MO 63044-2436
Phone
(314) 739-3300
Fax
(314) 739-0005

Open in Google Maps

NPI record

NPI
1083759518
Entity type
Individual (Type 1)
Enumeration date
February 21, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 012134 MO

Mailing address

411 Jumper Hill Ct
Chesterfield, MO 63017-3448
Phone
(314) 434-8504

About Dr. Dewert

William Gordon Dewert, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 12758 Boenker Ln, Bridgeton, MO 63044-2436. The NPI number 1083759518 was assigned on February 21, 2007 and the record was last updated on July 8, 2007.

Dr. Dewert lists a license in the registry: #012134 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of William Gordon Dewert, D.M.D.?

The NPI number is 1083759518.

What is the phone number of Dr. Dewert?

The phone number listed for the practice location is (314) 739-3300.

Where is Dr. Dewert located?

12758 Boenker Ln, Bridgeton, MO 63044-2436.

What is the taxonomy code for Dr. Dewert?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Bridgeton

All General Practice Dentistry providers in Bridgeton, MO →