Midmo Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2006014398 Issued in MO

Legal business name

MIDMO DENTAL, LLC

Practice address

1804 W 5TH St
Sedalia, MO 65301-2420

Phone

(816) 522-3549

NPI assigned

Jan 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert M Davis, DDS

Title

Owner

Phone

(816) 522-3549

Specialties & licenses 1

Addresses

Other names 1

• Robert Davis, DDS Doing business as

Locations

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1720264187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 E 62ND TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641336976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 W 5TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012420",
            "telephone_number": "816-522-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDMO DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-522-3549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "2006014398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Davis, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela S Meusborn, OT
• Gail Elizabeth Meyer, APRN, FNP-C
• Megan Lynne Meyer
• Mid Missouri Audiology
• Mid-Missouri Pelvic Health, LLC
• Midwest Heart & Vascular
• Beverly Miller
• Christa E. Miller, LMSW, LCSW
• Jacqueline Miller, OTR/L
• Morgan Rashel Millsap, COTA

• Dental Clinic/Center in Sedalia, MO
• Providers in Sedalia, 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 Jan 16, 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.