Troy R Vanopdorp, D.M.D
Individual provider Active NPI General Practice Dentistry · Desloge, MO
NPI 1477598332 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1477598332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 015933 (MO)
- Practice address
- 334 N State St
Desloge, MO 63601-3052 - Phone
- (573) 431-0020
- Fax
- (573) 431-1022
- NPI assigned
- Jun 17, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015933 | MO | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 015933 | MO | Yes |
Addresses
Primary practice location
334 N State St
Desloge, MO 63601-3052
Mailing address
334 N State St
Desloge, MO 63601-3052
Phone (573) 431-0020
Other providers in Desloge, MO
- Kelsey Marie Thompson
- Zachary Thomas Toenjes
- Daniel Bruce Torrence
- Lisa Kay Umfleet
- Noah Umfleet
- Emily Marie Voyles
- Wal-Mart Stores East LP
- Wal-Mart Stores East, LP
- Walgreen Co
- Brandi Janee Weir
All providers in Desloge, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.