Alyssa LY, DDS

General Practice Dentistry · Saint Louis, MO

Individual Active NPI

NPI number 1811678204

Practice location

4352 Manchester Ave
Saint Louis, MO 63110-2138
Phone
(314) 371-0336

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NPI record

NPI
1811678204
Entity type
Individual (Type 1)
Enumeration date
July 27, 2023
Last updated
September 10, 2023
Certified
August 26, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2023025120 MO

Mailing address

401 Holly Hills Ave
Saint Louis, MO 63111-2410
Phone
(314) 353-5190

About Dr. LY

Alyssa LY, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4352 Manchester Ave, Saint Louis, MO 63110-2138. The NPI number 1811678204 was assigned on July 27, 2023 and the record was last updated on September 10, 2023.

Dr. LY lists a license in the registry: #2023025120 (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 Alyssa LY, DDS?

The NPI number is 1811678204.

What is the phone number of Dr. LY?

The phone number listed for the practice location is (314) 371-0336.

Where is Dr. LY located?

4352 Manchester Ave, Saint Louis, MO 63110-2138.

What is the taxonomy code for Dr. LY?

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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