MEDICARE: GARDEN HEIGHTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1023753241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARDEN HEIGHTS LLC

Provider Business Mailing Address
First Line	:	1710 GRATZ BROWN ST
Second Line	:
City	:	MOBERLY
State	:	MO
Zip	:	65270-1913
Country	:	US
Telephone Number	:	636-443-5205
Fax Number	:	573-615-0793

Provider Business Practice Location Address
First Line	:	1608 S BIG BEND BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63117-2208
Country	:	US
Telephone Number	:	314-645-1225
Fax Number	:

Authorized Official
Title or Position	:	CO OWNER
Name	:	DR. JOHN OLOUGHLIN
Credential	:	DMD
Telephone Number	:	636-443-5205

Provider Enumeration Date	:	05/02/2022
Last Update Date	:	05/02/2022

Similar Medicare Providers

1104889872 — MS. MICHELE MARSHALL M.S.W., L.C.S.W.
Practice Location Address:

1606 S BIG BEND BLVD
SAINT LOUIS, MO
63117-2208

Practice Phone: 314-645-1075
Practice Fax: 314-645-5135

1962584565 — DR. SCOTT DOUGLAS KLOHR D.M.D.
Practice Location Address:

1608 S. BIG BEND
ST. LOUIS, MO
63117-2208

Practice Phone: 314-645-1225
Practice Fax: 314-645-1327

1760568653 — DR. JAMES GERARD SHORTELL D.D.S.
Practice Location Address:

1608 S BIG BEND BLVD
SAINT LOUIS, MO
63117-2208

Practice Phone: 314-781-7352
Practice Fax:

1821204470 — MS. CHRISTINE BALLIETT MCEVOY M.A., L.P.C.
Practice Location Address:

1606 S BIG BEND BLVD
SAINT LOUIS, MO
63117-2208

Practice Phone: 314-709-5393
Practice Fax:

1932307105 — SCOTT D KLOHR DMD LLC
Practice Location Address:

1608 S BIG BEND BLVD
SAINT LOUIS, MO
63117-2208

Practice Phone: 314-645-1225
Practice Fax: 314-645-1327

1639342710 — NUTRITION EXCHANGE, LLC
Practice Location Address:

1602 S BIG BEND BLVD
SAINT LOUIS, MO
63117-2208

Practice Phone: 314-583-4525
Practice Fax: 314-583-4525

1043532245 — MRS. KATHERINE ELIZABETH EARLY L.P.C.
Practice Location Address:

1606 S BIG BEND BLVD
SAINT LOUIS, MO
63117-2208

Practice Phone: 314-640-7437
Practice Fax: 314-645-5135

Directions to “GARDEN HEIGHTS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.