Blake D. Besancenez, D.M.D

General Practice Dentistry · Saint Louis, MO

Individual Active NPI

NPI number 1669082301

Practice location

12109 Tesson Ferry Professional Ctr
Saint Louis, MO 63128-1250
Phone
(314) 843-2078

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NPI record

NPI
1669082301
Entity type
Individual (Type 1)
Enumeration date
August 7, 2020
Last updated
November 17, 2020
Certified
November 17, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2020023988 MO

Other practice locations (1)

  • 8646 Commercial Blvd, Pevely, MO 63070-1529 · (636) 475-7161

About Dr. Besancenez

Blake D. Besancenez, 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 12109 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250. The NPI number 1669082301 was assigned on August 7, 2020 and the record was last updated on November 17, 2020.

Dr. Besancenez lists a license in the registry: #2020023988 (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 Blake D. Besancenez, D.M.D?

The NPI number is 1669082301.

What is the phone number of Dr. Besancenez?

The phone number listed for the practice location is (314) 843-2078.

Where is Dr. Besancenez located?

12109 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250.

What is the taxonomy code for Dr. Besancenez?

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.

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