OTTO BEAN DENTAL CLINIC
NPI 1013229749
Dentist - General Practice in Kennett, MO

Q: What is Southeast Missouri Health Network's NPI number?

The NPI number for Southeast Missouri Health Network is 1013229749. It was assigned to this organization in the NPPES registry on July 10, 2010. The provider is doing business as Otto Bean Dental Clinic.

Q: What is Southeast Missouri Health Network's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since July 10, 2010

500 RUSSELL ST, KENNETT, MO 63857(573) 888-3000(573) 888-3003 Get Directions Write a Review

NPPES record last updated: August 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Otto Bean Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OTTO BEAN DENTAL CLINIC (NPI 1013229749) is a healthcare organization registered as a general practice in Kennett, Missouri and active in the NPI registry since July 2010. The organization lists Chris Jones, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1013229749

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSOUTHEAST MISSOURI HEALTH NETWORK

Location Address500 RUSSELL STKennett, MO 63857-2102

Mailing Address420 Semo Dr, P.o. Box 400New Madrid, MO 63869-1734 · (573) 748-2404 · Fax (573) 748-8929

Phone(573) 888-3000

Fax(573) 888-3003

Organization SubpartNo

Authorized OfficialChris JonesChief Executive Officer · (573) 748-2404

Enumeration DateJuly 10, 2010

Last NPPES UpdateAugust 6, 2014

✔ NPI 1013229749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X

500 RUSSELL ST, Kennett, MO 63857

Open in Google Maps ↗

Other Names 1

Doing Business AsOtto Bean Dental Clinic

Other Identifiers 1

Medicaid1013229749MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TINA L CARTER LCSW

Social Worker (Clinical)