Cory McLeod, DDS
Individual provider Active NPI Dentist · Webb City, MO
NPI 1982228409 · NPPES record last updated Jul 28, 2020
Key facts
- NPI
- 1982228409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2020022147 (MO)
- Practice address
- 3100 E Zora St
Webb City, MO 64870-9770 - Phone
- (417) 781-3182
- NPI assigned
- Jun 1, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020022147 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moc Webb City, P L L C | Dentist | Current |
Accepting new patients |
| Seneca Family Smiles P L L C | Dentist | Past |
Accepting new patients |
| Carthage Pediatric Dentistry, P LLC | Past |
Accepting new patients | |
| Baxter Springs Family Dentistry PA | Dentist | Past |
Accepting new patients |
Locations
3100 E Zora St
Webb City, MO 64870
Phone (417) 228-8286
400 Riverwalk Ter
Ste 250
Jenks, OK 74037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2020022147 | MO | Yes |
Addresses
Primary practice location
3100 E Zora St
Webb City, MO 64870-9770
Mailing address
400 Riverwalk Ter Ste 250
Jenks, OK 74037-5619
Phone (918) 998-0996
Other providers in Webb City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.