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General NPI Number Information
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NPI Number | 1700758588
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Entity Type | Organization
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Legal Business Name | S. EHRHARDT, DMD LLC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 1064 OLD DES PERES RD
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City | SAINT LOUIS
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State | MO
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Zip | 63131-1865
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Country | US
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Telephone | 314-966-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 339 GALLOWAY OAKS DR
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City | BALLWIN
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State | MO
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Zip | 63021-7393
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SEAN EHRHARDT
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Credential | DMD
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Telephone | 630-200-4778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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