Numpol Dejtiranukul Dmd Llc is a Dental Clinic in O Fallon, Missouri. It is located at 4122 Keaton Crossing Blvd, Suite 101, O Fallon, MO and its contact number is 636-300-4280. The authorized person for Numpol Dejtiranukul Dmd Llc is Dr. Numpol Dejtiranukul
who is Single Member of the clinic and their contact number is 636-300-4280. The primary license number for Numpol Dejtiranukul Dmd Llc is 2000170243 (General Practice) in Missouri.
Numpol Dejtiranukul Dmd Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Numpol Dejtiranukul Dmd Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Numpol Dejtiranukul Dmd Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 4122 Keaton Crossing Blvd, Suite 101, O Fallon,
Missouri, 63368-8218 |
| Phone: | 636-300-4280 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Numpol Dejtiranukul |
| Position: | Single Member |
| Contact Number: | 636-300-4280 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Numpol Dejtiranukul Dmd Llc clinic are as mentioned below.
| NPI Number: | 1043479215 |
| NPI Enumeration Date: | 03 Jun, 2008 |
| NPI Last Update On: | 03 Jun, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Numpol Dejtiranukul Dmd Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 2000170243 | Missouri | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Numpol Dejtiranukul Dmd Llc
4122 Keaton Crossing Blvd, Suite 101
O Fallon, Missouri |
| Zip: | 63368-8218 |
| Phone Number: | 636-300-4280 |
Patients can reach Numpol Dejtiranukul Dmd Llc at
4122 Keaton Crossing Blvd, Suite 101, O Fallon, Missouri or can
call to book an appointment on 636-300-4280.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.