Dde LLC

Dentist · Bridgeton, MO

Organization Active NPI

NPI number 1922123652

Practice location

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

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NPI record

NPI
1922123652
Entity type
Organization (Type 2)
Enumeration date
March 20, 2007
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — MO

Authorized official

Name
Dr. Terry R Egan, DDS
Title
Member
Phone
(314) 739-3300

Other names

  • Advanced Family Dental

About Dde LLC

Dde LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 12758 Boenker Ln, Bridgeton, MO 63044-2436. The NPI number 1922123652 was assigned on March 20, 2007 and the record was last updated on August 22, 2020.

The authorized official for this organization is Dr. Terry R Egan, DDS, Member.

Frequently asked questions

What is the NPI number of Dde LLC?

The NPI number is 1922123652.

What is the phone number of Dde LLC?

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

Where is Dde LLC located?

12758 Boenker Ln, Bridgeton, MO 63044-2436.

What is the taxonomy code for Dde LLC?

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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