Augustine Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AUGUSTINE DENTAL LLC

Practice address

103 NE Douglas St
Lees Summit, MO 64063-2037

Phone

(816) 524-1337

NPI assigned

Dec 15, 2025

Last updated

Dec 15, 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

Ashli Gill, MBA

Title

Practice Administrator

Phone

(785) 766-2363

Specialties & licenses 1

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.

• Joshua Augustine, DDS

  • Dentist
  • Lee's Summit, MO
  • NPI 1386337624
  NPD (past)
• Scott A Dempsey, DDS

  • General Practice Dentistry
  • Lee's Summit, MO
  • NPI 1427123785
  NPD (past)
• Jane Marie Lischwe, DDS

  • General Practice Dentistry
  • Lee's Summit, MO
  • NPI 1760557029
  NPD (past)

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1689538464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 NE DOUGLAS ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632037",
            "telephone_number": "816-524-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 NE DOUGLAS ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632037",
            "telephone_number": "816-524-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTINE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "ASHLI",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "785-766-2363",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle C Atchity, CNP
• Athletico, LTD (Athletico Physical Therapy)
• Tamara Atwell, RBT
• Kevin D Atwood, O.D.
• Bradley Aubin
• Elijah Michael Augustine, MS, LBA
• Joshua Augustine, DDS
• Aurora Hand Therapy, Inc
• Michael S. Ausmus, M.D.
• Austen-Dooley Company

• Dentist in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Dentist in Missouri

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