# STL MID COUNTY DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake St Louis Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942129838
- **Authorized official:** DR. SEAN LANDGRAF DDS (OWNER/DENTIST)
- **Authorized official phone:** (314) 471-1949

## Contact information

- **Practice address:** 28 HAWK RIDGE CIR, LAKE ST LOUIS, MO 63367-1824
- **Practice address phone:** (636) 333-6150
- **Practice address fax:** (636) 333-9915
- **Mailing address:** 28 HAWK RIDGE CIR, LAKE ST LOUIS, MO 63367-1824

## Taxonomy

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

## Other

- **Enumeration date:** 07/14/2026
- **Last updated:** 07/14/2026
