Organization
ST LOUIS CHILDRENS GENERAL ANESTHESIA DENTISTRY, LLC
Active
Organization
ST LOUIS CHILDRENS GENERAL ANESTHESIA DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF WHEELER (CEO)
(301) 494-3000
Entity
Organization
Contact information
Practice address
12101 WOODCREST EXECUTIVE DR STE 101, SAINT LOUIS, MO 63141-5047
(301) 494-3000
Mailing address
12101 WOODCREST EXECUTIVE DR STE 101, SAINT LOUIS, MO 63141-5047
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP3000X
Pediatric Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
04/10/2026
Last updated
04/29/2026
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