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ROLLA FAMILY DENTISTRY INC
NPI 1154725745
Dentist - General Practice in Rolla, MO

Active since October 10, 2014
1701 E 10TH ST, ROLLA, MO 65401(573) 364-1599 Get Directions Write a Review

NPPES record last updated: October 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rolla Family Dentistry Inc NPPES

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

ROLLA FAMILY DENTISTRY INC (NPI 1154725745) is a healthcare organization registered as a general practice in Rolla, Missouri and active in the NPI registry since October 2014. The organization lists Jeremy Kiersz, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1154725745
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameROLLA FAMILY DENTISTRY INC
Location Address1701 E 10TH STRolla, MO 65401-4601
Mailing Address1701 E 10th StRolla, MO 65401-4601
Phone(573) 364-1599
Organization SubpartNo
Authorized OfficialJeremy KierszOwner/president · (573) 364-1599
Enumeration DateOctober 10, 2014
✔ NPI 1154725745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 015882
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.
1701 E 10TH ST, Rolla, MO 65401
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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 3

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

TAILWATER PRACTICE PARTNERS
Clinic/Center (Dental)
1701 E 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-1599
TW PRACTICE PARTNERS MISSOURI PC
Dentist (General Practice)
1701 E 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-1599
DR. SALIM MISTRIH DMD
Dentist
1701 E 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-1599

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 Rolla Family Dentistry Inc's NPI number?

The NPI number for Rolla Family Dentistry Inc is 1154725745. It was assigned to this organization in the NPPES registry on October 10, 2014.

Where is Rolla Family Dentistry Inc located?

Rolla Family Dentistry Inc is located at 1701 E 10th St, Rolla, MO 65401. The listed phone number is (573) 364-1599.

What is Rolla Family Dentistry Inc'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 Rolla Family Dentistry Inc was last updated on October 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.