Organization
RIVER WILLOW DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN BRUNWORTH DDS (OWNER DENTIST)
(636) 392-6797
Entity
Organization
Contact information
Practice address
2 WAINWRIGHT ST STE 210, WASHINGTON, MO 63090
(636) 392-6797
(636) 392-6792
Mailing address
2 WAINWRIGHT ST STE 210, WASHINGTON, MO 63090
(636) 392-6797
(636) 392-6792
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500154903
—
MO
Enumeration date
03/13/2025
Last updated
12/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us