1. Home
  2. Directory
  3. Missouri
  4. Odessa
  5. Dentist
  6. NPI Profile

ODESSA FAMILY DENTAL, LLC
NPI 1013881101
Dentist - General Practice in Odessa, MO

Active since October 01, 2025
404 N 4TH ST, ODESSA, MO 64076(816) 633-5393 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Odessa Family Dental, Llc NPPES

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

ODESSA FAMILY DENTAL, LLC (NPI 1013881101) is a healthcare organization registered as a general practice in Odessa, Missouri and active in the NPI registry since October 2025. The organization lists Chad Hendricks, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1013881101
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameODESSA FAMILY DENTAL, LLC
Location Address404 N 4TH STOdessa, MO 64076-1152
Mailing Address404 N 4th StOdessa, MO 64076-1152 · (816) 633-5393
Phone(816) 633-5393
Organization SubpartNo
Authorized OfficialChad HendricksCredentialing · (612) 859-0444
Enumeration DateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1013881101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
404 N 4TH ST, Odessa, MO 64076
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. ELLIE SEVERANCE DDS
Dentist (General Practice)
404 N 4TH ST
ODESSA, MO 64076
Lafayette County (573) 691-7700
DR. JERRY L HANEY DDS
Dentist
404 N 4TH ST
ODESSA, MO 64076
Lafayette County (816) 633-5393
DR. SARAH YAFFA NAON DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
404 N 4TH ST
ODESSA, MO 64076
Lafayette County (816) 490-7330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Odessa Family Dental, LLC's NPI number?

The NPI number for Odessa Family Dental, LLC is 1013881101. It was assigned to this organization in the NPPES registry on October 1, 2025.

Where is Odessa Family Dental, LLC located?

Odessa Family Dental, LLC is located at 404 N 4th St, Odessa, MO 64076. The listed phone number is (816) 633-5393.

What is Odessa Family Dental, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Odessa Family Dental, LLC was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.