MEDICARE: WE CARE MOBILE 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	1223G0001X	General Practice Dentistry	2011019745	MO

General Provider Information

NPI Number	:	1811448863
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WE CARE MOBILE DENTAL LLC

Provider Business Mailing Address
First Line	:	6903 WATERMAN AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63130-4333
Country	:	US
Telephone Number	:	314-276-8090
Fax Number	:

Provider Business Practice Location Address
First Line	:	6903 WATERMAN AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63130-4333
Country	:	US
Telephone Number	:	314-276-8090
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	MICHAEL TRAVIS
Credential	:	DDS
Telephone Number	:	314-452-1423

Provider Enumeration Date	:	10/14/2016
Last Update Date	:	10/14/2016

Similar Medicare Providers

1366988685 — REGINA HOWARD RDH
Practice Location Address:

6903 WATERMAN AVE
UNIVERSITY CITY, MO
63130-4333

Practice Phone: 314-276-8090
Practice Fax:

1356377600 — MISSOURI CVS PHARMACY, L.L.C.
Practice Location Address:

4333 BUTLER HILL RD
SAINT LOUIS, MO
63128-3717

Practice Phone: 314-894-2484
Practice Fax: 314-894-2591

1548610090 — MAHMOOD ABOSARA
Practice Location Address:

4333 MANCHESTER AVE
SAINT LOUIS, MO
63110-2137

Practice Phone: 314-665-9672
Practice Fax:

1528598406 — QUEEN HOME CARE, LLC
Practice Location Address:

4333 MANCHESTER AVE
SAINT LOUIS, MO
63110-2137

Practice Phone: 314-303-0433
Practice Fax:

1326524356 — DR. JONATHON MAUST PHARM D
Practice Location Address:

4333 BUTLER HILL RD
SAINT LOUIS, MO
63128-3717

Practice Phone: 314-894-2484
Practice Fax:

1134605017 — IRENE SANSOUCIE PHARMD
Practice Location Address:

4333 BUTLER HILL RD
SAINT LOUIS, MO
63128-3717

Practice Phone: 314-894-2484
Practice Fax: 314-894-2591

Directions to “WE CARE MOBILE 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.