Search › Missouri › 225X00000X
Ryan Puricelli
NPI 1770381725 · on the registry since 2025
Practice
- Address
- 4337 Butler Hill Rd Ste L
Saint Louis, MO 63128 - Phone
- (314) 487-7000
- Organisation at this address
- Custom Dental Management
Nikodem Dental Holdings, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 1837 Homer M Adams Pkwy Ste M, Alton, IL
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225X00000X
- Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-05
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