Springfield Family Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SPRINGFIELD FAMILY DENTAL LLC

Practice address

636 W Republic Rd Ste 120
Springfield, MO 65807-5803

Phone

(503) 577-4178

NPI assigned

May 3, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Emmanuel Salar, DMDNPI 1891304929

Title

Dentist

Phone

(314) 400-8035

Specialties & licenses 1

Addresses

Other names 1

• Springfield Family Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emmanuel Salar, DMD

  • General Practice Dentistry
  • Springfield, MO
  • NPI 1891304929

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1902541972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 W WINCHESTER ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 W REPUBLIC RD STE 120",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075803",
            "telephone_number": "503-577-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "SALAR",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "314-400-8035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Springfield Dentistry 4 Kids LLC
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• Springfield Eye & Plastic Surgery
• Springfield Eye Specialists LLC
• Springfield Eyecare, LLC
• Springfield Family Medical Walk-in Clinics Inc
• Springfield Family Vision
• Springfield Group Inc
• Springfield Healthcare Center LLC
• Springfield Healthcare Management LLC

• All providers in Springfield, MO
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.