Healthcare Provider Details

I. General information

NPI: 1801728720
Provider Name (Legal Business Name): SWAPNALI ARVIND SHINDE KAMBLE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3606 N LINDBERGH BLVD
SAINT ANN MO
63074-2107
US

IV. Provider business mailing address

3606 N LINDBERGH BLVD
SAINT ANN MO
63074-2107
US

V. Phone/Fax

Practice location:
  • Phone: 314-427-7400
  • Fax: 314-209-9503
Mailing address:
  • Phone: 314-427-7400
  • Fax: 314-209-9503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2026004790
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: