MEDICARE: DR. BETSAIDA ANAI DELGADO DMD

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	122300000X	Dentist	2025021419	MO

General Provider Information

NPI Number	:	1861374092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BETSAIDA ANAI DELGADO DMD

Provider Business Mailing Address
First Line	:	9 N EUCLID AVE UNIT 506
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-1483
Country	:	US
Telephone Number	:
Fax Number	:	314-720-6600

Provider Business Practice Location Address
First Line	:	11941 MANCHESTER RD
Second Line	:
City	:	DES PERES
State	:	MO
Zip	:	63131-4502
Country	:	US
Telephone Number	:	314-501-8300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2025
Last Update Date	:	06/03/2026

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