# GREGORY S. ST. JOHN, DDS, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1174775407
- **Authorized official:** DR. GREGORY S ST. JOHN DDS (PRESIDENT)
- **Authorized official phone:** (636) 458-9300

## Contact information

- **Practice address:** 16429 VILLAGE PLAZA VIEW DR, WILDWOOD, MO 63011-4913
- **Practice address phone:** (636) 458-9300
- **Mailing address:** 16429 VILLAGE PLAZA VIEW DR, WILDWOOD, MO 63011-4913
- **Mailing address phone:** (636) 458-9300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 014718 | MO | Yes |

## Other

- **Enumeration date:** 10/17/2008
- **Last updated:** 10/17/2008