Healthcare Provider Details

I. General information

NPI: 1134302458
Provider Name (Legal Business Name): DAVID ENGELSBERG DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2007
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 OLD BALLAS RD STE 118
SAINT LOUIS MO
63141-7070
US

IV. Provider business mailing address

201 MAGELLAN DR
SARASOTA FL
34243-1028
US

V. Phone/Fax

Practice location:
  • Phone: 314-948-8213
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2026000982
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number12684
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: