Active NPI
Sweet Tooth Independence LLC
Doing business as Sweet Tooth Pediatric Dentistry & Orthodontics
- Dental Clinic/Center
- Independence, MO
National Provider Identifier
1811767361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.