# ST. LOUIS CHILDREN'S HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Louis Children's Hospital Dental Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447302161
- **Authorized official:** MS. TRISHA LOLLO (PRESIDENT)
- **Authorized official phone:** (314) 996-8401

## Contact information

- **Practice address:** 1 CHILDRENS PL, LS 2, SAINT LOUIS, MO 63110-1002
- **Practice address phone:** (314) 454-6250
- **Practice address fax:** (314) 454-4006
- **Mailing address:** PO BOX 504225, SAINT LOUIS, MO 63150-0001
- **Mailing address phone:** (314) 454-6250
- **Mailing address fax:** (314) 454-4006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 324-2 | MO | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 03/16/2021