Provider Demographics
NPI:1942189204
Name:LITTLE PEARLS PEDIATRIC DENTISTRY LLC
Entity type:Organization
Organization Name:LITTLE PEARLS PEDIATRIC DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:KRATZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:314-910-0156
Mailing Address - Street 1:605 RUE MONTAND DR
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2808
Mailing Address - Country:US
Mailing Address - Phone:314-910-0156
Mailing Address - Fax:
Practice Address - Street 1:1001 BRITTANY PKWY UNIT F-1
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MO
Practice Address - Zip Code:63011-4325
Practice Address - Country:US
Practice Address - Phone:314-343-1037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-30
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental