# ELM DENTAL CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023258936
- **Authorized official:** DR. MICHAEL R LEUCHTMANN D.D.S. (OWNER)
- **Authorized official phone:** (636) 916-4848

## Contact information

- **Practice address:** 3820 ELM ST, SAINT CHARLES, MO 63301-4368
- **Practice address phone:** (636) 916-4848
- **Practice address fax:** (636) 916-1004
- **Mailing address:** 3820 ELM ST, SAINT CHARLES, MO 63301-4368
- **Mailing address phone:** (636) 916-4848
- **Mailing address fax:** (636) 916-1004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 2010021038 | MO | Yes |

## Other

- **Enumeration date:** 03/05/2009
- **Last updated:** 06/20/2012