Sweet Tooth Grandview LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SWEET TOOTH GRANDVIEW LLC

Doing business as

Sweet Tooth Pediatric Dentistry & Orthodontics

Practice address

11908 Blue Ridge Ext
Grandview, MO 64030-1160

Phone

(913) 276-3809

NPI assigned

Jan 5, 2024

Last updated

Jan 5, 2024By 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

Wayne Dobbins, DDS

Title

Owner/Dentist

Phone

(913) 276-3809

Specialties & licenses 1

Addresses

Other names 1

• Sweet Tooth Pediatric Dentistry & Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1417727967",
    "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",
            "telephone_number": "913-276-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11908 BLUE RIDGE EXT",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640301160",
            "telephone_number": "913-276-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET TOOTH GRANDVIEW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "DOBBINS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "913-276-3809",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweet Tooth Pediatric Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kellie Stickler, DPT
• Alisa D Stout
• Regina Stringfield
• Kimberly Sutherland
• Gregory Gene Swartz, PT
• Sweet Tooth Grandview Orthodontics
• Saba Amreen Syeda
• Robert Michael Tait, DDS
• Ebony Tanner, LCSW
• Sarthak Thanawala, MD MPH

• Dental Clinic/Center in Grandview, MO
• Providers in Grandview, 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 Jan 5, 2024; 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.