Kevin Moreno, DDS

Dentist · Ballwin, MO

Individual Active NPI

NPI number 1477390789

Practice location

15208 Manchester Rd
Ballwin, MO 63011-4601
Phone
(636) 238-3197

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NPI record

NPI
1477390789
Entity type
Individual (Type 1)
Enumeration date
July 12, 2024
Last updated
July 12, 2024
Certified
May 31, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2024027871 MO

Mailing address

16336 Lakeview Cir
Chesterfield, MO 63017-4710
Phone
(760) 468-7455

About Dr. Moreno

Kevin Moreno, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 15208 Manchester Rd, Ballwin, MO 63011-4601. The NPI number 1477390789 was assigned on July 12, 2024 and the record was last updated on July 12, 2024.

Dr. Moreno lists a license in the registry: #2024027871 (MO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kevin Moreno, DDS?

The NPI number is 1477390789.

What is the phone number of Dr. Moreno?

The phone number listed for the practice location is (636) 238-3197.

Where is Dr. Moreno located?

15208 Manchester Rd, Ballwin, MO 63011-4601.

What is the taxonomy code for Dr. Moreno?

The primary taxonomy code is 122300000X – Dentist.

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.

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