Access Dental & Dentures LLC
Organization Active NPI General Practice Dentistry · Aurora, MO
NPI 1679070841 · NPPES record last updated Apr 12, 2018
Key facts
- NPI
- 1679070841
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- ACCESS DENTAL & DENTURES LLC
- Practice address
- 1402 S Elliott Ave
Aurora, MO 65605-2104 - Phone
- (417) 501-1082
- Fax
- (417) 501-1661
- NPI assigned
- Apr 12, 2018
- Organization subpart
- No
Authorized official
- Name
- Kari Hicks
- Title
- Director of Administration
- Phone
- (417) 501-1082
Subparts reporting this organization as parent 2
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Family Dental Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
1402 S Elliott Ave
Aurora, MO 65605-2104
Mailing address
1701 W Sunshine St Ste Q
Springfield, MO 65807-2261
Phone (417) 501-1048
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275048324 | Other | MO | NPPES |
| 1376088369 | Other | MO | NPPES |
| 1114279460 | Other | MO | NPPES |
| 1427356989 | Medicaid | MO | |
| 182138649 | Medicaid | MO | |
| 1649589706 | Other | MO | NPPES |
| 1215241005 | Medicaid | MO |
Other providers in Aurora, MO
- Cynthia Amy Abbott
- Staci Ackerman
- Olumide Ololade Adewumi
- Melissa C Altom
- Paul Berry Andelin
- Chibuike Chimdiya Anokwute
All providers in Aurora, 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 Apr 12, 2018. 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.