Doctor profile · Federal record

Dr. Azaryas Mandefro, DMD

Dentist · Arnold, MO

  • NPI 1881922193
  • 17 yrs on file
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3850 Jeffco Blvd
Arnold, MO 63010
(636) 333-3304
fax (636) 333-3307

Credentials & registration

NPPES · NUCC
NPI registered
November 2009 — 17 yrs on file
Profile last updated
May 6, 2025
Specialty taxonomy
122300000X — NUCC code
State license (1)
Missouri #2009032198
Medicaid
MO #40066124

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1881922193. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$37
Transactions
3
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
Nsk America Corporation 1 $15.42
Patterson Companies, INC. 1 $13.92
Ultradent Products INC 1 $7.86

By nature of payment

Food and Beverage
$37

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
107
Patients
76
Total drug cost
$389
Drug Type Claims Patients Total cost
Amoxicillin Generic 72 48 $281
Acetaminophen-Codeine (Acetaminophen With Codeine) Brand 24 17 $72
Ibuprofen Generic 11 11 $36

Frequently asked questions

Auto-generated from federal data
What is Dr. Azaryas Mandefro's medical specialty?
Dr. Azaryas Mandefro practices Dentist in Arnold, MO.
Where does Dr. Azaryas Mandefro practice?
Dr. Azaryas Mandefro practices at 3850 Jeffco Blvd, Arnold, MO 63010. Office phone: 6363333304.
What is Dr. Azaryas Mandefro's NPI?
Dr. Azaryas Mandefro's National Provider Identifier (NPI) is 1881922193, issued by NPPES.