The Dental Specialty Center, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12790 Issued in MO

Legal business name

THE DENTAL SPECIALTY CENTER, LLC

Practice address

303 N Keene St Ste 210
Columbia, MO 65201-7193

Phone

(573) 817-2277

Fax

(573) 817-2888

NPI assigned

Sep 15, 2008

Last updated

Sep 15, 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

Cindy Sooter

Title

Office Manager

Phone

(573) 817-2222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1598914525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N KEENE ST STE 210",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017193",
            "telephone_number": "573-817-2277",
            "fax_number": "573-817-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N KEENE ST STE 210",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017193",
            "telephone_number": "573-817-2277",
            "fax_number": "573-817-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL SPECIALTY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "SOOTER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-817-2222"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "12790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Curators of the University of Missouri (Mizzou Optical)
• The Curators of the University of Missouri
• The Curators of the University of Missouri (Univ Phsyicians-Specially Care Asso)
• The Curators of the University of Missouri (University Physicians Specialty Care Associates)
• The Curators of the University of Missouri on Behalf of the Thompson C
• The Eye Gallery Company
• The Family of Change 6 L.L.C. (Reliable Roots Home Care)
• The Heriford House Foundation
• The Hero Clinic
• The Longevity Lab LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Columbia, MO
• Providers in Columbia, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.