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INDEPENDENCE DENTAL, LLC
NPI 1104598721
Clinic/Center - Dental in Independence, KS

Active since October 01, 2021
308 N 6TH ST, INDEPENDENCE, KS 67301(620) 331-4499 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Independence Dental, Llc NPPES

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

INDEPENDENCE DENTAL, LLC (NPI 1104598721) is a healthcare organization registered as a dental in Independence, Kansas and active in the NPI registry since October 2021. The organization lists Juan Camilo Reynolds, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1104598721
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameINDEPENDENCE DENTAL, LLC
Location Address308 N 6TH STIndependence, KS 67301-3129
Mailing Address308 N 6th StIndependence, KS 67301-3129 · (620) 331-4499
Phone(620) 331-4499
Organization SubpartNo
Authorized OfficialJuan Camilo ReynoldsOwner/dentist · (918) 907-1335
Enumeration DateOctober 1, 2021
NPPES CertifiedOctober 1, 2021
✔ NPI 1104598721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
308 N 6TH ST, Independence, KS 67301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

DR. CYNTHIA E SHERWOOD
Dentist
308 N 6TH ST
INDEPENDENCE, KS 67301
Montgomery County (620) 331-4499

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 Independence Dental, LLC's NPI number?

The NPI number for Independence Dental, LLC is 1104598721. It was assigned to this organization in the NPPES registry on October 1, 2021.

Where is Independence Dental, LLC located?

Independence Dental, LLC is located at 308 N 6th St, Independence, KS 67301. The listed phone number is (620) 331-4499.

What is Independence Dental, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Independence Dental, LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and UnitedHealthcare list Independence Dental, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Independence Dental, LLC was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.