Active NPI
SFFD LLC
- Dentist
- Springfield, MO
National Provider Identifier
1093650947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SFFD LLC
- Practice address
- 636 W Republic Rd Ste 120
Springfield, MO 65807-5803 - Phone
- (417) 882-3200
- NPI assigned
- Apr 20, 2026
- Last updated
- Apr 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nathan Bowen, DMD
- Title
- Owner
- Phone
- (702) 283-8421
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
636 W Republic Rd Ste 120
Springfield, MO 65807-5803
Mailing address
636 W Republic Rd Ste 120
Springfield, MO 65807-5803
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Battlefield, MO
- NPI 1841638525
-
- General Practice Dentistry
- Springfield, MO
- NPI 1659485100
-
- General Practice Dentistry
- Springfield, MO
- NPI 1891304929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776643200000",
"number": "1093650947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 W REPUBLIC RD STE 120",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 W REPUBLIC RD STE 120",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075803",
"telephone_number": "417-882-3200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SFFD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-20",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A",
"authorized_official_last_name": "BOWEN",
"authorized_official_first_name": "NATHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-283-8421",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.