Active NPI
Sweet Tooth Summit
- Pediatric Dentistry
- Lees Summit, MO
National Provider Identifier
1124826656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- SWEET TOOTH SUMMIT
- Practice address
- 512 SE 291 Hwy
Lees Summit, MO 64063-4302 - Phone
- (913) 276-3809
- NPI assigned
- Mar 3, 2025
- 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
- Wayne Dobbins
- Title
- Owner
- Phone
- (913) 276-3809
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
512 SE 291 Hwy
Lees Summit, MO 64063-4302
Mailing address
6600 College Blvd Ste 125
Overland Park, KS 66211-1522
National Provider Directory
National Provider DirectoryLocations
512 SE State Route 291
Lees Summit, MO 64063
Phone (816) 265-2203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740960000000",
"number": "1124826656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 COLLEGE BLVD STE 125",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 SE 291 HWY",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640634302",
"telephone_number": "913-276-3809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEET TOOTH SUMMIT",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-03",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A",
"authorized_official_last_name": "DOBBINS",
"authorized_official_first_name": "WAYNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "913-276-3809"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.