Organization
AL G DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE BARBER (PROVIDER ENROLLMENT MANAGER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
12221 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2502
(314) 656-6615
(314) 298-0030
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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