Organization Active NPI

Rock Dental Missouri LLC

  • Dentist
  • West Plains, MO
National Provider Identifier
1972014504
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ROCK DENTAL MISSOURI LLC
Practice address
181 N Kentucky Ave Ste 300
West Plains, MO 65775-2092
Phone
(417) 256-5100
NPI assigned
Oct 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Mark L. Dake, DDS, MBR
Title
Owner
Phone
(501) 462-2062

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

181 N Kentucky Ave Ste 300
West Plains, MO 65775-2092

Mailing address

PO Box 3450
Little Rock, AR 72203-3450
Phone (501) 781-2777

Other practice location 1

590 Lynn St
Lebanon, MO 65536-2409
Phone (417) 532-9535

Other practice location 2

703 1st St
Kennett, MO 63857-2439
Phone (573) 559-1090

Other practice location 3

502 W Main St
Jackson, MO 63755-1741
Phone (573) 243-4365

Other practice location 4

321 S 2nd St
Houston, MO 65483-1424
Phone (417) 967-4528

Other practice location 5

720 S One Mile Rd
Dexter, MO 63841-1804
Phone (573) 334-5755

Other practice location 6

293 E US Highway 54
102
Camdenton, MO 65020
Phone (573) 525-5141

Other practice location 7

168 S Payne Stewart Dr Ste 100
Branson, MO 65616-2718
Phone (417) 335-4746

Other practice location 8

100 Lafayette Cir
Waynesville, MO 65583-2430
Phone (573) 774-5187

Other practice location 9

2800 S Fremont Ave
Springfield, MO 65804-3651
Phone (417) 881-7490

Other practice location 10

2951 Kanell Blvd
Poplar Bluff, MO 63901-4008
Phone (573) 776-1355

Other practice location 11

237 E 17th St
Mountain Grove, MO 65711-1160
Phone (417) 926-4100

Other names 3

  • Leap Kids Dental Doing business as
  • Uncommon Orthodontics Doing business as
  • Westrock Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

293 E US Highway 54
Ste 102
Camdenton, MO 65020
Phone (573) 525-5141

720 S One Mile Rd
Dexter, MO 63841
Phone (573) 334-5755

321 S 2nd St
Houston, MO 65483
Phone (417) 967-4528

502 W Main St
Jackson, MO 63755
Phone (573) 243-4365

703 1st St
Kennett, MO 63857
Phone (573) 559-1090

590 Lynn St
Lebanon, MO 65536
Phone (417) 532-9532

237 E 17th St
Mountain Grove, MO 65711
Phone (417) 926-4100

2800 S Fremont Ave
Springfield, MO 65804
Phone (417) 881-7490

100 Lafayette Cir
Waynesville, MO 65583
Phone (573) 525-5141

181 N Kentucky Ave
Ste 300
West Plains, MO 65775
Phone (417) 256-5100

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1972014504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3450",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722033450",
            "telephone_number": "501-781-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 N KENTUCKY AVE STE 300",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752092",
            "telephone_number": "417-256-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Lynn St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "MO",
            "postal_code": "655362409",
            "country_code": "US",
            "telephone_number": "417-532-9535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "703 1st St",
            "address_purpose": "LOCATION",
            "city": "Kennett",
            "state": "MO",
            "postal_code": "638572439",
            "country_code": "US",
            "telephone_number": "573-559-1090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 W Main St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MO",
            "postal_code": "637551741",
            "country_code": "US",
            "telephone_number": "573-243-4365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "MO",
            "postal_code": "654831424",
            "country_code": "US",
            "telephone_number": "417-967-4528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 S One Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Dexter",
            "state": "MO",
            "postal_code": "638411804",
            "country_code": "US",
            "telephone_number": "573-334-5755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "293 E US Highway 54",
            "address_2": "102",
            "address_purpose": "LOCATION",
            "city": "Camdenton",
            "state": "MO",
            "postal_code": "65020",
            "country_code": "US",
            "telephone_number": "573-525-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "168 S Payne Stewart Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162718",
            "country_code": "US",
            "telephone_number": "417-335-4746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Lafayette Cir",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "MO",
            "postal_code": "655832430",
            "country_code": "US",
            "telephone_number": "573-774-5187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 S Fremont Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658043651",
            "country_code": "US",
            "telephone_number": "417-881-7490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2951 Kanell Blvd",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639014008",
            "country_code": "US",
            "telephone_number": "573-776-1355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "237 E 17th St",
            "address_purpose": "LOCATION",
            "city": "Mountain Grove",
            "state": "MO",
            "postal_code": "657111160",
            "country_code": "US",
            "telephone_number": "417-926-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROCK DENTAL MISSOURI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "DAKE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-462-2062",
        "authorized_official_credential": "DDS, MBR"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leap Kids Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Uncommon Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westrock Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Plains, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.