Brentwood Dental Group

LBN: Charles E. Niesen Ii, Dmd, Michael J. Faddis, Dds
Brentwood Dental Group is an health care organization with primary practice located at 2440 S Brentwood Blvd , Saint Louis MO 63144-2321. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Charles E. Niesen Ii, Dmd, Michael J. Faddis, Dds can be contacted via phone (314) 962-6643, or through Faddis, Michael J. via phone (314) 962-6643.

Contact Information

Primary practice address
2440 S Brentwood Blvd Saint Louis MO 63144-2321
Phone: (314) 962-6643
Fax: (314) 962-2205
Website:
Map and Directions
Authorized official contact:
Name: Faddis, Michael J. Doctor of Dental Surgery (DDS)
Phone: (314) 962-6643

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1548321318
LBN Legal business name Charles E. Niesen Ii, Dmd, Michael J. Faddis, Dds
DBA Doing business as Brentwood Dental Group
Authorized official Faddis, Michael J. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Aug 21st, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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