Organization Active NPI

The Dental Studio of Kennett

  • General Practice Dentistry
  • Kennett, MO
National Provider Identifier
1083540736
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THE DENTAL STUDIO OF KENNETT
Practice address
215 Teaco Rd
Kennett, MO 63857-3236
Phone
(573) 888-5936
Fax
(573) 559-3006
NPI assigned
Jun 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paraskevi Panousis, DDS
Title
Owner
Phone
(573) 888-5936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

215 Teaco Rd
Kennett, MO 63857-3236

Mailing address

215 Teaco Rd
Kennett, MO 63857-3236
Phone (573) 888-5936

National Provider Directory

National Provider Directory

Locations

215 Teaco Rd
Kennett, MO 63857
Phone (573) 717-7500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1083540736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TEACO RD",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573236",
            "telephone_number": "573-888-5936",
            "fax_number": "573-559-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 TEACO RD",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573236",
            "telephone_number": "573-888-5936",
            "fax_number": "573-559-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL STUDIO OF KENNETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "PANOUSIS",
        "authorized_official_first_name": "PARASKEVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-888-5936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.