Jessica Lynn Quint, DDS
Individual provider Active NPI General Practice Dentistry · Fayette, MO
NPI 1831290634 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831290634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2002011681 (MO)
- Practice address
- 119 N Main St
Fayette, MO 65248-1446 - Phone
- (660) 248-2300
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160121002168 | MO | Order and Referring Only - Dentist |
1759684053 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2002011681 | MO | Yes |
Addresses
Primary practice location
119 N Main St
Fayette, MO 65248-1446
Mailing address
119 N Main St
Fayette, MO 65248-1446
Phone (660) 248-2300
Other providers in Fayette, MO
- Janet W Nuse
- Melanie Joy Oler
- Adam Joseph Orf
- Joshua Michael Osborn
- Andrea Jill Pratte
- Murphy Elizabeth Quint
- Angela G Rentel
- Darius Trevon Rich
- Ashley J Ritter
- Shelby Roark
All providers in Fayette, 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 Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.