Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162) — for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1093163479
Hawkins Heights Dental
Organization Subpart: NO
Active
NPI Number1093163479
NPI TypeNPI-2 Organization
SpecialtyDentist
Provider Details
NPI1093163479
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2016-05-26
Last Updated2016-05-26
Authorized OfficialKurt Morgester
OWNER/DENTIST
Phone: 6362255600
Mailing Address2578 Gladiator Dr
Fenton, MO 63026-2285
United States
Phone: (636) 225-5600 | Fax: (636) 225-5601
📍 View Map
Primary Practice Address2578 Gladiator Dr
Fenton, MO 63026-2285
United States
Phone: (636) 225-5600 | Fax: (636) 225-5601
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes122300000X – DentistMO2002014619
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About NPI 1093163479

Hawkins Heights Dental is an organization registered in the CMS NPPES NPI Registry with NPI number 1093163479. The primary specialty listed is Dentist. The organization is located in Fenton, MO. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-05-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1093163479?

NPI 1093163479 belongs to Hawkins Heights Dental, a Dentist in Fenton, MO. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1093163479 active?

The current status of NPI 1093163479 in the NPPES registry is Active. The record was last updated on 2016-05-26.

What specialty is NPI 1093163479?

NPI 1093163479 is classified under the taxonomy Dentist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1093163479?

You can verify NPI 1093163479 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1093163479?

The primary practice address on file for NPI 1093163479 is 2578 Gladiator Dr, Fenton, MO 63026-2285. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1093163479 issued?

NPI 1093163479 was first issued (enumerated) on 2016-05-26. The NPPES record was last updated on 2016-05-26.

Practice Location Map

Hawkins Heights Dental is located at 2578 Gladiator Dr, Fenton, MO. Use the map below to find directions or verify the practice location.

📍 2578 Gladiator Dr, Fenton, MO 63026-2285  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Hawkins Heights Dental. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1093163479. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Dentist2002014619MO
Data Verified from CMS NPPES Last synced: 2026-06-23 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162