Organization
BB FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE BESANCENEZ DMD (OWNER)
(636) 448-3243
Entity
Organization
Contact information
Practice address
12109 TESSON FERRY PROFESSIONAL CTR, SAINT LOUIS, MO 63128-1250
(314) 843-2078
Mailing address
12109 TESSON FERRY PROFESSIONAL CTR, SAINT LOUIS, MO 63128-1250
(314) 843-2078
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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