Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1811942691 Deactivated / Inactive NPI Male Practitioner

Dr. Paul G Dolan , DDS

Dentist • Saint Charles, MO

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Paul Dolan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 23, 2006
NPI Deactivation Date August 09, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Dolan, DDS was a registered Dentist practicing in Saint Charles, MO. Throughout an active medical career spanning 11 years, Dr. Dolan provided care at the practice location at 300 1ST CAPITOL DR until profile deactivation on 2017-08-09.

Practice Location & Contact Primary Location

Practice Address

300 1st Capitol Dr

Saint Charles, MO 633012844

Telephone 6369475000
Fax 6369475090
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Saint Charles, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
34 Specialists

Practicing in Saint Charles, MO (1740 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MO 009907

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kathleen Christlieb , PA

Physician Assistant

NPI 1013112176

Physician Assistant

Angela Glass , MSOTR, L

Occupational Therapist

NPI 1053246009
Dr. Anthony Jennings , MD

Emergency Medicine

NPI 1073568168

Doctor of Medicine (M.D.)

Margaux Weller , FNP-BC

Nurse Practitioner - Family

NPI 1083153589

Family Nurse Practitioner (Board Certified)

Dr. Syed Khalid , MD

Internal Medicine

NPI 1083787253

Doctor of Medicine (M.D.)

Erin Bass

Speech-Language Pathologist

NPI 1093533242

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated August 09, 2017

Record deactivated on August 09, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 300 1ST CAPITOL DR, SAINT CHARLES, MO 633012844 (Tel: 6369475000)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1836 LACKLAND HILL PKWY, SAINT LOUIS, MO 631463572 (Tel: 3149890300)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PAUL DOLAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #009907 in MO)

🟢
Initial NPI Registration & Enumeration May 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Paul Dolan. Be the first to share your experience!

Sign in to leave a review for Dr. Paul Dolan

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1811942691
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2006
Last Update: July 08, 2007
Deactivation Date: August 09, 2017

Mailing Address

1836 Lackland Hill Pkwy

Saint Louis, MO 631463572

Phone: 3149890300

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.