# PADEN JOHN FAMILY DENTAL LLC

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

## Provider details

- **NPI number:** 1184431785
- **Authorized official:** DR. PADEN JOHN DMD (DENTIST/OWNER)
- **Authorized official phone:** (636) 240-1750

## Contact information

- **Practice address:** 31 OFALLON SQ, O FALLON, MO 63366-3034
- **Practice address phone:** (636) 240-1750
- **Mailing address:** 31 OFALLON SQ, O FALLON, MO 63366-3034
- **Mailing address phone:** (636) 240-1750

## Taxonomy

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

## Other

- **Enumeration date:** 12/17/2024
- **Last updated:** 12/17/2024