# ADVANCED DENTAL CARE OF THE MIDWEST, LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Metro West Dental & Implant Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669187845
- **Authorized official:** DR. KHALED SHABANY DMD, MS (OWNER/PERIODONTIST)
- **Authorized official phone:** (314) 755-1542

## Contact information

- **Practice address:** 443 N NEW BALLAS RD STE 244, CREVE COEUR, MO 63141-6800
- **Practice address phone:** (314) 755-1542
- **Mailing address:** 443 N NEW BALLAS RD STE 244, CREVE COEUR, MO 63141-6800
- **Mailing address phone:** (314) 755-1542

## Taxonomy

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

## Other

- **Enumeration date:** 01/23/2023
- **Last updated:** 01/23/2023