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INNOVATIVE DENTAL
NPI 1043622368
Preferred Provider Organization in Springfield, MO

Active since May 21, 2014
3424 S CULPEPPER CT, SPRINGFIELD, MO 65804(417) 889-4746 Get Directions Write a Review

NPPES record last updated: May 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Innovative Dental NPPES

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

INNOVATIVE DENTAL (NPI 1043622368) is a healthcare organization registered as a preferred provider organization in Springfield, Missouri and active in the NPI registry since May 2014. The organization lists Grant B Olson, President/owner, as its authorized official.

NPPES Registry Identity

NPI1043622368
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameINNOVATIVE DENTAL
Location Address3424 S CULPEPPER CTSpringfield, MO 65804-3755
Mailing Address3424 S Culpepper CtSpringfield, MO 65804-3755 · (417) 889-4746
Phone(417) 889-4746
Organization SubpartNo
Authorized OfficialGrant B OlsonPresident/owner · (417) 889-4746
Enumeration DateMay 21, 2014
✔ NPI 1043622368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in MO · 2011016216
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
3424 S CULPEPPER CT, Springfield, MO 65804
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Other Identifiers 1

Other3424Dental Office

Other Providers at the Same Location NPPES 4

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

DR. GEORGE G GRAHAM JR. DDS
Dentist (General Practice)
3424 S CULPEPPER CT
SPRINGFIELD, MO 65804
Greene County (417) 889-4746
GRANT OLSON
Dentist (General Practice)
3424 S CULPEPPER CT
SPRINGFIELD, MO 65804
Greene County (417) 343-1266
DR. TAYLOR NICOLE JORDAN DDS
Dentist (General Practice)
3424 S CULPEPPER CT
SPRINGFIELD, MO 65804
Greene County (417) 889-4746
MICHAEL MCMAHAN DDS
Dentist
3424 S CULPEPPER CT
SPRINGFIELD, MO 65804
Greene County (417) 881-1213

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 Innovative Dental's NPI number?

The NPI number for Innovative Dental is 1043622368. It was assigned to this organization in the NPPES registry on May 21, 2014.

Where is Innovative Dental located?

Innovative Dental is located at 3424 S Culpepper Ct, Springfield, MO 65804. The listed phone number is (417) 889-4746.

What is Innovative Dental's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Innovative Dental was last updated on May 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.