Healthcare Provider Details

I. General information

NPI: 1437093465
Provider Name (Legal Business Name): VIVIAN FINERTY DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date: 07/14/2026
Reactivation Date: 07/29/2026

III. Provider practice location address

8859 LADUE RD
SAINT LOUIS MO
63124-2045
US

IV. Provider business mailing address

8859 LADUE RD
SAINT LOUIS MO
63124-2045
US

V. Phone/Fax

Practice location:
  • Phone: 314-983-8011
  • Fax:
Mailing address:
  • Phone: 314-983-8011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2026033298
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: