Warrenton Family Dentist LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WARRENTON FAMILY DENTIST LLC

Practice address

505 Ingram LN
Warrenton, MO 63383-4429

Phone

(636) 377-1233

Fax

(636) 377-4049

NPI assigned

Oct 26, 2022

Last updated

Oct 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adam W Stotts, DMDNPI 1093381881

Title

Manager

Phone

(636) 887-1994

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Adam Weeden Stotts, DMD

  • General Practice Dentistry
  • Warrenton, MO
  • NPI 1093381881
  NPD Authorized official

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1164149498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 INGRAM LN",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "633834429",
            "telephone_number": "636-377-1233",
            "fax_number": "636-377-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 INGRAM LN",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "633834429",
            "telephone_number": "636-377-1233",
            "fax_number": "636-377-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRENTON FAMILY DENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "STOTTS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "636-887-1994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren County Ambulance District
• Warren County Developmental Disabilities Board
• Warren County Handicapped Services, Inc.
• Warren County Handicapped Services, Inc.
• Warren County R-III School District
• Warrenton Family Medicine LLC
• Kristen Nicole Weber
• Rachel Marie Weilandich, DPT
• Christina Welch, DPT
• Bonnie J Wessler, L.C.S.W.

• Dental Clinic/Center in Warrenton, MO
• Providers in Warrenton, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.