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FREDERICKTOWN FAMILY DENTAL
NPI 1043689557
Dentist - General Practice in Fredericktown, MO

Active since September 15, 2015
731 W MAIN ST, FREDERICKTOWN, MO 63645(573) 783-4100 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fredericktown Family Dental NPPES

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

FREDERICKTOWN FAMILY DENTAL (NPI 1043689557) is a healthcare organization registered as a general practice in Fredericktown, Missouri and active in the NPI registry since September 2015. The organization lists John Adams, Owner, as its authorized official.

NPPES Registry Identity

NPI1043689557
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFREDERICKTOWN FAMILY DENTAL
Location Address731 W MAIN STFredericktown, MO 63645-1113
Mailing Address731 W Main StFredericktown, MO 63645-1113 · (573) 783-4100
Phone(573) 783-4100
Organization SubpartNo
Authorized OfficialJohn AdamsOwner · (573) 783-4100
Enumeration DateSeptember 15, 2015
Last NPPES UpdateSeptember 16, 2015
✔ NPI 1043689557 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.

731 W MAIN ST, Fredericktown, MO 63645
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MRS. LINDA CAROLE CRAVENS RDN
Dentist
731 W MAIN ST, GUY A WALKER DDS
FREDERICKTOWN, MO 63645
Madison County (573) 783-4100
MR. JOHN S. ADAMS D.D.S.
Dentist (General Practice)
731 W MAIN ST
FREDERICKTOWN, MO 63645
Madison County (573) 783-4100

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 Fredericktown Family Dental's NPI number?

The NPI number for Fredericktown Family Dental is 1043689557. It was assigned to this organization in the NPPES registry on September 15, 2015.

Where is Fredericktown Family Dental located?

Fredericktown Family Dental is located at 731 W Main St, Fredericktown, MO 63645. The listed phone number is (573) 783-4100.

What is Fredericktown Family Dental'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 Fredericktown Family Dental was last updated on September 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.