ST GEORGE FAMILY DENTAL
NPI 1336689660
Dentist - General Practice in Fulton, MO

NPI Status: Active since March 06, 2017

Contact Information

603 NICHOLS ST
FULTON, MO
ZIP 65251
Phone: (573) 642-6904
Fax: (573) 642-7256

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  • Organization
  • Dentist
  • General Practice

About ST GEORGE FAMILY DENTAL

This page provides the complete NPI Profile along with additional information for St George Family Dental, a provider established in Fulton, Missouri operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1336689660 assigned on March 2017. The practitioner's primary taxonomy code is 1223G0001X with license number 2008014167 (MO). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as St George Family Dental. The authorized official of this NPI record is Matthew St George Dds (Owner)

NPI
1336689660
Provider Legal Name
MATT ST GEORGE INC
Other Organization Name
ST GEORGE FAMILY DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
603 NICHOLS ST FULTON, MO 65251
Location Phone
(573) 642-6904
Location Fax
(573) 642-7256
Mailing Address
603 NICHOLS ST FULTON, MO 65251
Mailing Phone
(573) 642-6904
Mailing Fax
(573) 642-7256
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-06-2017
Last Update Date
03-06-2017
Code Navigator

A dentist like St George Family Dental is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
2008014167
License State
MO
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MATTHEW ST GEORGE DDS

Authorized Official Title
OWNER
Authorized Official Phone
(573) 642-6904

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336689660
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236612818612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 2 + 8 + 1 + 8 + 6 + 1 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1336689660 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528063625DR. JAMES M. MCCALL D.D.S.
Individual
Dentist (General Practice)603 NICHOLS ST
FULTON, MO 65251
(573) 642-6904
1992963839DR. MATTHEW PAUL ST. GEORGE DDS
Individual
Dentist603 NICHOLS ST
FULTON, MO 65251
(573) 642-6904
1407817588JAMES M. MCCALL, D.D.S., P.C.
Organization
Dentist (General Practice)603 NICHOLS ST
FULTON, MO 65251
(573) 642-6904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336689660, enumerated in the NPI registry as an "organization" on March 06, 2017

The provider is located at 603 Nichols St Fulton, Mo 65251 and the phone number is (573) 642-6904

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

This NPI record was last updated on March 06, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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