Healthcare Provider Details

I. General information

NPI: 1043014814
Provider Name (Legal Business Name): VALUDENTAL LINDBERGH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7934 N LINDBERGH BLVD
HAZELWOOD MO
63042-3521
US

IV. Provider business mailing address

7934 N LINDBERGH BLVD
HAZELWOOD MO
63042-3521
US

V. Phone/Fax

Practice location:
  • Phone: 314-818-0000
  • Fax: 314-820-1054
Mailing address:
  • Phone: 314-818-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LINDA ESLER
Title or Position: OFFICE MANAGER
Credential:
Phone: 314-818-0000