MEDICARE: CREWS DENTAL 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	:	1598579021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CREWS DENTAL LLC

Provider Business Mailing Address
First Line	:	4224 WATSON RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63109-1271
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4224 WATSON RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63109-1271
Country	:	US
Telephone Number	:	314-832-1366
Fax Number	:

Authorized Official
Title or Position	:	OWNER, DENTIST
Name	:	DR. TARAH A CREWS
Credential	:	DMD
Telephone Number	:	314-832-1366

Provider Enumeration Date	:	02/05/2025
Last Update Date	:	02/05/2025

Similar Medicare Providers

1336023225 — SERENITY SERVICES AGENCY LLC
Practice Location Address:

4224 WATSON RD STE 201
SAINT LOUIS, MO
63109-1271

Practice Phone: 224-521-3142
Practice Fax:

1063561769 — DR. CHRISTOPHER BRADLEY HILL D.M.D.
Practice Location Address:

1034 S BRENTWOOD BLVD STE 790
SAINT LOUIS, MO
63117-1271

Practice Phone: 314-678-7876
Practice Fax:

1053705392 — SHEARITA SANDOVAL ANP- BC
Practice Location Address:

3113 MAGNOLIA AVE , APT 2E
SAINT LOUIS, MO
63118-1271

Practice Phone: 314-749-6708
Practice Fax:

1558823658 — DIVINITY HOME HEALTHCARE SERVICES
Practice Location Address:

1271 SUTTER AVE
SAINT LOUIS, MO
63133-1948

Practice Phone: 314-267-1007
Practice Fax:

1821963190 — KENDRICK JONES PLPC
Practice Location Address:

911 WASHINGTON AVE STE 500
SAINT LOUIS, MO
63101-1271

Practice Phone: 314-252-0368
Practice Fax:

1609392349 — RAI KEYSTONE IMAGING SERVICES, LLC
Practice Location Address:

5775 WAYZATA BLVD STE 400
ST LOUIS PARK, MN
55416-1271

Practice Phone: 952-525-6338
Practice Fax: 952-905-5697

Directions to “CREWS DENTAL 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.