Edgerley Dental LLC
NPI 1598357923ActiveOrganization· Dentist, Prosthodontics· Chesterfield, MO
Dentist, Prosthodontics in Chesterfield, Missouri, registered in NPPES in February 2021. The authorized official on file is Paul Douglas Edgerley, DDS, MDS, Prosthodontist/Dentist.
Overview
| NPI | 1598357923 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 8, 2021 |
| Last updated in NPPES | Jan 30, 2024 |
| Certified by provider | Jan 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | — | — |
| Dentist | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Other Dentist, Prosthodontics providers in Chesterfield
- 1588072391