Healthcare Provider Details

I. General information

NPI: 1326976283
Provider Name (Legal Business Name): FRONTENAC PEDIATRIC DENTISTRY OF ST. LOUIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10401 CLAYTON RD STE 150
SAINT LOUIS MO
63131-2909
US

IV. Provider business mailing address

10401 CLAYTON RD STE 150
SAINT LOUIS MO
63131-2909
US

V. Phone/Fax

Practice location:
  • Phone: 314-960-2198
  • Fax:
Mailing address:
  • Phone: 314-960-2198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. EVAN JAMES REED
Title or Position: OWNER / PEDIATRIC DENTIST
Credential: D.D.S.
Phone: 314-960-2198