TAILWATER PRACTICE PARTNERS
NPI 1073393336
Clinic/Center - Dental in Rolla, MO
About Tailwater Practice Partners NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAILWATER PRACTICE PARTNERS (NPI 1073393336), doing business as Rolla Family Dentistry, is a healthcare organization registered as a dental in Rolla, Missouri and active in the NPI registry since October 2023. The organization lists Ryan Mccostlin, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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.
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 Tailwater Practice Partners's NPI number?
The NPI number for Tailwater Practice Partners is 1073393336. It was assigned to this organization in the NPPES registry on October 4, 2023. The provider is doing business as Rolla Family Dentistry.
Where is Tailwater Practice Partners located?
Tailwater Practice Partners is located at 1701 E 10th St, Rolla, MO 65401. The listed phone number is (573) 364-1599.
What is Tailwater Practice Partners's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
When was this NPI record last updated?
The NPPES record for Tailwater Practice Partners was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tailwater Practice Partners · NPI 1073393336
Dental organization in Rolla, Missouri. Organization record, active in the CMS NPPES registry since October 4, 2023.
## Identity
- **NPI:** 1073393336 (Entity type: Organization)
- **Enumerated:** October 4, 2023
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Also known as:** Rolla Family Dentistry (Doing Business As)
- **Organization subpart:** Yes (part of Tw New Dentistry, Pllc)
- **Authorized official:** Ryan Mccostlin, CEO
## Practice location
- **Address:** 1701 E 10TH ST, Rolla, MO 65401-4601
- **Phone:** (573) 364-1599
## Record status
- **NPPES last updated:** October 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1073393336) · Data from the CMS NPPES public registry.