Smile Clubhouse Ozark LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SMILE CLUBHOUSE OZARK LLC

Practice address

1427 W State Highway J
Ozark, MO 65721-7473

Phone

(417) 444-6776

NPI assigned

Aug 12, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Stephen G Dove, DDSNPI 1568724508

Title

Owner

Phone

(417) 551-9998

Specialties & licenses 1

Addresses

Other names 1

• Honeycomb Pediatric Dentistry 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.

• Stephen G Dove, D.D.S.

  • Dentist
  • Springfield, MO
  • NPI 1568724508
  NPD Authorized official

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1104657055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 W STATE HIGHWAY J",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657217473",
            "telephone_number": "417-551-9998",
            "fax_number": "417-551-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 W STATE HIGHWAY J",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657217473",
            "telephone_number": "417-444-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CLUBHOUSE OZARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "DOVE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-551-9998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Honeycomb Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kiley Shawver
• Megan Shook, DPT
• Jeana Rae Siler, FNP
• Margaret M. Simpson, NP
• Matthew Skala, OTR/L
• Smith Management Services, LLC
• Smith Management Services, LLC
• Smith Management Services, LLC
• Jacey Smith
• Jeff Smith, RPH

• Pediatric Dentistry in Ozark, MO
• Providers in Ozark, MO by specialty
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.