Hillside Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HILLSIDE FAMILY DENTAL

Practice address

1001 W Hill St
Neosho, MO 64850-1642

Phone

(417) 451-6604

NPI assigned

Jul 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Misty Michelle Deaton, DDS

Title

Owner/Dr.

Phone

(417) 451-6604

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1295998854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W HILL ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501642",
            "telephone_number": "417-451-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W HILL ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501642",
            "telephone_number": "417-451-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "DEATON",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/DR.",
        "authorized_official_telephone_number": "417-451-6604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrell W. Hedrick, DDS
• Brady G. Hesington, MD
• Cynthia D. Hester, LPC
• Kyslea Ann Hester, OTR/L
• Amy Hillmon
• Kelsey Lynn Hobbs, DNP, APRN
• Ernest Samuel Holmes IV, MD
• Kathryn J Housh, RDH
• Kathleen Howe
• Erika Michelle Jennings, PTA

• General Practice Dentistry in Neosho, MO
• Providers in Neosho, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.