Tri-Lakes Dental Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TRI-LAKES DENTAL CENTER

Practice address

10994 Historic Highway 165
Hollister, MO 65672-6234

Phone

(417) 335-4630

Fax

(417) 339-2026

NPI assigned

Jul 8, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey Rick, DDSNPI 1851407928

Title

Owner/Dentist

Phone

(417) 337-0332

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Scott Rick, D.D.S.

  • General Practice Dentistry
  • Hollister, MO
  • NPI 1851407928
  NPD Authorized official

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1639802309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10994 HISTORIC HIGHWAY 165",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656726234",
            "telephone_number": "417-335-4630",
            "fax_number": "417-339-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10994 HISTORIC HIGHWAY 165",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656726234",
            "telephone_number": "417-335-4630",
            "fax_number": "417-339-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-LAKES DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "RICK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "417-337-0332",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lajan Kayle Taylor, MS, CCC-SLP
• The Center for Individual & Family Counseling, LLC
• Ronald Richard Tilgner, DDS
• Tompkins Wellness Center Inc
• TP Hollister Ops LLC
• Tri-Lakes Dental Center
• Tri-Lakes Dental Center
• Malissa Ann Unger
• Wayne Vogel, RPH
• Walgreen Co

• Dental Clinic/Center in Hollister, MO
• Providers in Hollister, 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 Jul 8, 2022; 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.