Centralia Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CENTRALIA DENTAL LLC

Practice address

110 W Sneed St
Centralia, MO 65240-1375

Phone

(573) 682-5616

NPI assigned

Jul 30, 2025

Last updated

Jul 30, 2025By 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. Jared Garton Buescher, DDSNPI 1295465920

Title

Managing Member

Phone

(573) 291-1411

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jared Buescher, DDS

  • General Practice Dentistry
  • Centralia, MO
  • NPI 1295465920
  Authorized official Same address or phone

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1538042197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W SNEED ST",
            "city": "CENTRALIA",
            "state": "MO",
            "postal_code": "652401375",
            "telephone_number": "573-682-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W SNEED ST",
            "city": "CENTRALIA",
            "state": "MO",
            "postal_code": "652401375",
            "telephone_number": "573-682-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRALIA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "BUESCHER",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "GARTON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "573-291-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brown Chiropractic Wellness Center (Lori C. Brown)
• Brown Chiropractic Wellness Center & Spa, LLC
• Lori Carol Brown, D.C.
• Jared Buescher, DDS
• Donna Kay Burgeson, LPC
• Centralia Family Health, PC
• Centralia School District R-VI
• Chore Angels LLC
• Cathy Jo Cody, M.D.
• Lezlie David, LMT

• General Practice Dentistry in Centralia, MO
• Providers in Centralia, 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 Jul 30, 2025; 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.