Dentaq

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

DENTAQ

Practice address

1136 W Jackson St
Ozark, MO 65721-9164

Phone

(417) 581-2421

Fax

(417) 485-2420

NPI assigned

Apr 26, 2023

Organization subpart

No

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

Authorized official

Name

Bobbye Batterson

Title

Office Manager

Phone

(417) 830-0475

Specialties & licenses 2

Addresses

Other names 1

• Riverpointe Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Camille Renee Tague, DDS

  • Dentist
  • Springfield, MO
  • NPI 1205329737
  NPD (past)

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1104514322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 S BLACKMAN RD STE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658092845",
            "telephone_number": "417-887-3860",
            "fax_number": "417-877-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 W JACKSON ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657219164",
            "telephone_number": "417-581-2421",
            "fax_number": "417-485-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAQ",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2024-06-04",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "BATTERSON",
        "authorized_official_first_name": "BOBBYE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-830-0475"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverpointe Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverpointe Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristy Delong, PHARMD
• Sherri Rena Delozier Carter, MS, PLPC
• Jeffrey S. Delvecchio, P.A.
• Justin Wayne Denney, DMD
• Leagha Marie Dennison
• Stacy M Depriest, CCC-SLP
• Lindsey Jane Dillion, MS, LPC, NCC
• Holly Lee Divin-Deckard, PLPC
• Susan Rebecca Dodds Kurth, LMT
• Erin Michelle Dominguez, PHARMD

• Customized Equipment (DME) in Ozark, MO
• Providers in Ozark, MO by specialty
• Customized Equipment (DME) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.