Organization Active NPI

Sweet Tooth Independence LLC

Doing business as Sweet Tooth Pediatric Dentistry & Orthodontics

  • Dental Clinic/Center
  • Independence, MO
National Provider Identifier
1811767361
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SWEET TOOTH INDEPENDENCE LLC
Doing business as
Sweet Tooth Pediatric Dentistry & Orthodontics
Practice address
514 S Noland Rd Ste 130
Independence, MO 64050-3973
Phone
(913) 276-3809
NPI assigned
Jan 5, 2024
Last updated
Jan 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Wayne Dobbins, DDS
Title
Owner/Dentist
Phone
(913) 276-3809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

514 S Noland Rd Ste 130
Independence, MO 64050-3973

Mailing address

6600 College Blvd Ste 125
Overland Park, KS 66211-1522
Phone (913) 276-3809

Other names 1

  • Sweet Tooth Pediatric Dentistry & Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

6600 College Blvd
Ste 125
Overland Park, KS 66211

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1811767361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 COLLEGE BLVD STE 125",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111522",
            "telephone_number": "913-276-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S NOLAND RD STE 130",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640503973",
            "telephone_number": "913-276-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET TOOTH INDEPENDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "DOBBINS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "913-276-3809",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweet Tooth Pediatric Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.