Dental 32, L.L.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2014016823 Issued in MO

Legal business name

DENTAL 32, L.L.C.

Doing business as

Dental 32

Practice address

2142 S Brentwood Blvd
Springfield, MO 65804-2539

Phone

(417) 881-3200

NPI assigned

Dec 5, 2017

Last updated

Dec 5, 2017By 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. Ashley Dawn Meyer, D.D.S.

Title

Dentist

Phone

(417) 881-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dental 32 Doing business as

Locations

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1447765029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 S BRENTWOOD BLVD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042539",
            "telephone_number": "417-881-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 S BRENTWOOD BLVD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042539",
            "telephone_number": "417-881-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL 32, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "417-881-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "2014016823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689710873",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental 32",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Izabella Dennis
• Kevin Dennis, OTR/L
• Kyla Dennis, MT (ASCP)
• Charis Denovi
• Johnnie Densmore III
• Dental Solutions LLC (Smile Dental)
• Angelina Nicole-Marie Denton-Howell, FNP
• Brianna Denton, PHARMD
• Scarlet Kennedy Denton, CPM
• Derek R. Kaelin D.D.S, LLC (James River Dental)

• Dental Clinic/Center in Springfield, MO
• Providers in Springfield, 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 Dec 5, 2017; 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.