NPI
Jennifer Decota
NPI 1780806109
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- D.D.S.
- Type
- Individual
- Enumeration date
- 2007-05-03
- Last updated
- 2007-07-08
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Specialties
Licenses
- License MO
- 2000158416
Location
- Practice location
- 1391 Smizer Mill Rd, Suite 104
- City
- Fenton MO
- Postal code
- 63026-7306
- Phone
- (636) 349-2400
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
General Dentists in Fenton, MO. 16 with this primary taxonomy in the public file.
Other NPIs in Fenton, MO. 701 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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