SearchMissouri1223G0001X

Kevin Groth, DMD

NPI 1699860734 · on the registry since 2006 · sole proprietor

Practice

Address
2915 S Brentwood Blvd
Saint Louis, MO 63144
Phone
(314) 962-6622
Fax
(314) 961-2288
Organisation at this address
Prestige Dental Care, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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