Search › Missouri › 1223S0112X
Kenneth Priddy, DDS
NPI 1598127672 · on the registry since 2016
Practice
- Address
- 853 Medical Dr Ste 115
Wentzville, MO 63385 - Phone
- (636) 887-3100
- Fax
- (636) 887-3102
- Organisation at this address
- Ted Beauchamp, Dds Llc
Kristiane Naegler Dmd, Llc
Ivey Dds And Rosenthal Dmd Pc
Missouri Center For Oral Surgery And Implants LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 1 Mid Rivers Mall Dr Ste 310, Saint Peters, MO
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 1223S0112X
- Licence states on file
- MO, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri