# ST. LOUIS UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Advanced Dental Education
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053467746
- **Authorized official:** DR. ROLF G BEHRENTS DDS, MS, PHD (CADE EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 977-8600

## Contact information

- **Practice address:** 3320 RUTGER ST, SAINT LOUIS, MO 63104-1122
- **Practice address phone:** (314) 977-8363
- **Practice address fax:** (314) 977-8617
- **Mailing address:** 3320 RUTGER ST, ROOM 2048, SAINT LOUIS, MO 63104-1122
- **Mailing address phone:** (314) 977-8363
- **Mailing address fax:** (314) 977-8617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 08/22/2020