Mo Specialty Dental Services, LLC
NPI 1386484137ActiveOrganization· Dentist, Pediatric Dentistry· Saint Louis, MO
Dentist, Pediatric Dentistry in Saint Louis, Missouri, registered in NPPES in May 2024, part of Mo Specialty Dental Services, LLC. The authorized official on file is Charlotte Dasch, Direc Of Cred And Pr.
Overview
| NPI | 1386484137 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mo Specialty Dental Services, LLC |
| NPI issued | May 29, 2024 |
| Last updated in NPPES | May 29, 2024 |
| Certified by provider | May 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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