Fitterling Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11943 Issued in MO

Legal business name

FITTERLING DENTISTRY, LLC

Practice address

4402 E 32ND St Ste B
Joplin, MO 64804-4453

Phone

(417) 781-2900

Fax

(417) 781-5178

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Cindy Sooter

Title

Office Manager

Phone

(417) 781-2900

Specialties & licenses 3

Addresses

Other names 1

• Joplin Family Dental Doing business as

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1386907194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 E 32ND ST STE B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044453",
            "telephone_number": "417-781-2900",
            "fax_number": "417-781-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 E 32ND ST STE B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044453",
            "telephone_number": "417-781-2900",
            "fax_number": "417-781-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITTERLING DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "SOOTER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-781-2900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "2010040606",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "12915",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "11943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joplin Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Firepath Counseling LLC
• Nancy Fiscus, CRNA
• Cara D Fisher, PA
• Lindsey Kay Fisher
• Tracy R Fisher
• Michael Edwin Fitterling, DDS
• Deborah Lynne Fitzgerald, ED.S.,LPC
• Jackson Lawrence Flack
• Leah Flees
• Terence Fleeton II, MAADC II

• General Practice Dentistry in Joplin, MO
• Providers in Joplin, 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 Jun 18, 2012; 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.