Fremont Hills Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FREMONT HILLS DENTAL PLLC

Practice address

5240 N Towne Centre Dr
Ozark, MO 65721-9074

Phone

(417) 581-0000

Fax

(417) 582-1564

NPI assigned

Apr 1, 2021

Organization subpart

No

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

Authorized official

Name

Lily Davis

Title

Credentialing Speciailst

Phone

(918) 998-0996

Specialties & licenses 1

Addresses

Other names 1

• Fremont Hills Dental Centre Doing business as

Locations

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1326626110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TER STE 250",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375619",
            "telephone_number": "918-998-0996",
            "fax_number": "918-310-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 N TOWNE CENTRE DR",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657219074",
            "telephone_number": "417-581-0000",
            "fax_number": "417-582-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT HILLS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIAILST",
        "authorized_official_telephone_number": "918-998-0996"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fremont Hills Dental Centre",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fremont Hills Dental Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry Ford
• Tara Jean Forrester, MS PLPC
• Farrah Fox, OTR/L
• Benjamin France, LPC
• Jason Franklin, AMFT
• Lindsey Frerichs, PA
• Lee Michael Freund, DO
• Frontier Pharmacy LLC
• Lance Wallace Frost, DO
• Brandi Frye, LCSW

• Dentist in Ozark, MO
• Providers in Ozark, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.