Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669110599 Individual Practitioner Male Practitioner

Jack Guo

Dentist - Endodontics • O Fallon, MO

Professional Overview & Biography Verified Profile Summary

Jack Guo is a registered healthcare professional specializing in Dentist - Endodontics in O Fallon, MO. Practice services are available at 113 CHURCH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

113 Church St

O Fallon, MO 633662894

Telephone 6363624040
Associated Practice Facility / Clinic
🏢 River City Endodontics Facility NPI 1043899677

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in O Fallon, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in O Fallon, MO (81 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-16
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License MO 2024015466

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 16, 2026

Registered at 113 CHURCH ST, O FALLON, MO 633662894 (Tel: 6363624040)

📍
Updated Business Mailing Address July 16, 2026

Registered at 2220 MID RIVERS PLACE DR APT 2220, SAINT PETERS, MO 633044438 (Tel: 8704048258)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2026

Dentist (License #2024015466 in MO)

NPI Profile Active May 20, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2022

Registered at 4301 W MARKHAM ST # 624, LITTLE ROCK, AR 722057101 (Tel: 5015267619)

📍
Updated Business Mailing Address May 20, 2022

Registered at 140 MAGNOLIA CT, MOUNTAIN HOME, AR 726538781

👤
Provider Name / Credentials Updated May 20, 2022

Recorded as JACK GUO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 20, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669110599
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2022
Last Update: July 16, 2026
Sole Proprietor: Yes

Mailing Address

2220 Mid Rivers Place Dr Apt 2220

Saint Peters, MO 633044438

Phone: 8704048258

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.