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MID MISSOURI DENTAL CENTER
NPI 1164622395
Dentist - Pediatric Dentistry in Columbia, MO

Active since July 25, 2007
1500 VANDIVER DR, SUITE 104, COLUMBIA, MO 65202(573) 814-1694(573) 814-2845 Get Directions Write a Review

NPPES record last updated: July 25, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mid Missouri Dental Center NPPES

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

MID MISSOURI DENTAL CENTER (NPI 1164622395) is a healthcare organization registered as a pediatric dentistry in Columbia, Missouri and active in the NPI registry since July 2007. The organization lists Kerri L Smith, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1164622395
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWALTER R. PFITZINGER D.D.S,, P.C.
Location Address1500 VANDIVER DR, SUITE 104Columbia, MO 65202-3932
Mailing Address1500 Vandiver Dr, Suite 104Columbia, MO 65202-3932 · (573) 814-1694 · Fax (573) 814-2845
Phone(573) 814-1694
Fax(573) 814-2845
Organization SubpartNo
Authorized OfficialKerri L SmithOffice Manager · (573) 814-1694
Enumeration DateJuly 25, 2007
✔ NPI 1164622395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MO · 010435
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1500 VANDIVER DR, Columbia, MO 65202
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Other Names 1

Doing Business AsMid Missouri Dental Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

MICHAEL S. TODD D.M.D., LLC
Dentist (General Practice)
1500 VANDIVER DR, SUITE 104
COLUMBIA, MO 65202
Boone County (573) 814-1694
STATE OF MISSOURI
Case Management
1500 VANDIVER DR, SUITE 100
COLUMBIA, MO 65202
Boone County (573) 882-9835
DR. WALTER ROBERT PFITZINGER D.D.S, M.S.
Dentist (Oral and Maxillofacial Surgery)
1500 VANDIVER DR, STE 104
COLUMBIA, MO 65202
Boone County (573) 814-1694

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 Walter R. Pfitzinger D.D.S,, P.C.'s NPI number?

The NPI number for Walter R. Pfitzinger D.D.S,, P.C. is 1164622395. It was assigned to this organization in the NPPES registry on July 25, 2007. The provider is doing business as Mid Missouri Dental Center.

Where is Walter R. Pfitzinger D.D.S,, P.C. located?

Walter R. Pfitzinger D.D.S,, P.C. is located at 1500 Vandiver Dr Suite 104, Columbia, MO 65202. The listed phone number is (573) 814-1694.

What is Walter R. Pfitzinger D.D.S,, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Walter R. Pfitzinger D.D.S,, P.C. was last updated on July 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.