Plaza Dental Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2008006645 Issued in MO

Legal business name

PLAZA DENTAL GROUP LLC

Practice address

303 N Keene St
Ste 208
Columbia, MO 65201-6623

Phone

(573) 817-2222

Fax

(573) 817-2888

NPI assigned

Jan 9, 2008

Last updated

Jun 17, 2008By 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

Mrs. Cindy M Sooter

Title

Office Manager

Phone

(573) 817-2222

Specialties & licenses 4

Addresses

Locations

Practitioners 3

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.

• Senthil N Arun, BDS, DMD, MSD, PHD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Columbia, MO
  • NPI 1699065359
  NPD (past)
• Kyle Lisenby, D.M.D.

  • Dentist
  • Columbia, MO
  • NPI 1629248414
  NPD (past)
• Erin Bates, DDS

  • Dentist
  • Ithaca, NY
  • NPI 1538588926
  NPD (past)

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1548445406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N KEENE ST",
            "address_2": "STE 208",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016623",
            "telephone_number": "573-817-2222",
            "fax_number": "573-817-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N KEENE ST",
            "address_2": "STE 208",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016623",
            "telephone_number": "573-817-2222",
            "fax_number": "573-817-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "SOOTER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-817-2222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "200613508",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2008006645",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "01348",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "010435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khayla Dupri Pittman, OTR/L, OTD
• Nicole Plaster, RN
• Plastic and Reconstructive Surgery of Mid-Missouri, Inc
• Platinum Homecare
• Jeffrey L Platz, MSW, LCSW
• Plaza Dental Implant & Surgical Center, LLC
• Deanna S Pledge, PH.D.
• Aubrey Plemmons
• Allison Plogher, RBT
• Trudy-Ann Nicolle Plummer, MD

• General Practice Dentistry in Columbia, MO
• Providers in Columbia, 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 17, 2008; 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.