Morgan Brooke Dumond, D.D.S
Individual provider Active NPI General Practice Dentistry · Cassville, MO
NPI 1043662455 · NPPES record last updated Jul 9, 2016
Key facts
- NPI
- 1043662455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2016021766 (MO)
- Practice address
- 4016 Main St
Cassville, MO 65625-9753 - Phone
- (417) 847-0057
- NPI assigned
- Jul 9, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160725001101 | MO | Order and Referring Only - Dentist |
3375836661 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark Tri-County Health Care Consortium | Past | Accepting new patients |
Networks
- IA HMO C-SNP
Interoperability endpoints
- morgan.dumond@othcdafc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2016021766 | MO | Yes |
Addresses
Primary practice location
4016 Main St
Cassville, MO 65625-9753
Mailing address
4016 Main St
Cassville, MO 65625-9753
Phone (417) 847-0057
Other providers in Cassville, MO
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- Jason R Dickinson
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- Dr Kristy Montz-Goble Chiropractor PC
- Kristen Favalora
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- Amanda Gibbons
- Elizabeth Ann Goetz
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All providers in Cassville, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.