# CHILDREN'S DENTAL ZONE

> 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:** 1700172806
- **Authorized official:** MS. CANDACE THERESE WAKEFIELD DMD (OWNER)
- **Authorized official phone:** (314) 830-9663

## Contact information

- **Practice address:** 13410 NEW HALLS FERRY RD, FLORISSANT, MO 63033-3035
- **Practice address phone:** (314) 830-9663
- **Practice address fax:** (314) 830-9664
- **Mailing address:** 13410 NEW HALLS FERRY RD, FLORISSANT, MO 63033-3035
- **Mailing address phone:** (314) 830-9663
- **Mailing address fax:** (314) 830-9664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 2000175293 | MO | Yes |

## Other

- **Enumeration date:** 06/27/2011
- **Last updated:** 06/27/2011