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MIDWESTPERIODONTICS
NPI 1194191213
Dentist - Periodontics in Saint Joseph, MO

Active since August 12, 2015
1006 W SAINT MAARTENS DR, SUITE A, SAINT JOSEPH, MO 64506(816) 364-3325 Get Directions Write a Review

NPPES record last updated: August 12, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Midwestperiodontics NPPES

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

MIDWESTPERIODONTICS (NPI 1194191213) is a healthcare organization registered as a periodontics in Saint Joseph, Missouri and active in the NPI registry since August 2015. The organization lists Steve Southard, President, as its authorized official.

NPPES Registry Identity

NPI1194191213
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameMIDWESTPERIODONTICS
Location Address1006 W SAINT MAARTENS DR, SUITE ASaint Joseph, MO 64506-2966
Mailing Address1006 W Saint Maartens Dr, Suite ASaint Joseph, MO 64506-2966 · (816) 364-3325
Phone(816) 364-3325
Organization SubpartNo
Authorized OfficialSteve SouthardPresident · (816) 390-2500
Enumeration DateAugust 12, 2015
✔ NPI 1194191213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MO · 14401
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1006 W SAINT MAARTENS DR, Saint Joseph, MO 64506
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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

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

SETH RUSH
Dentist
1006 W SAINT MAARTENS DR
SAINT JOSEPH, MO 64506
Buchanan County (816) 364-3325

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 Midwestperiodontics's NPI number?

The NPI number for Midwestperiodontics is 1194191213. It was assigned to this organization in the NPPES registry on August 12, 2015.

Where is Midwestperiodontics located?

Midwestperiodontics is located at 1006 W Saint Maartens Dr Suite A, Saint Joseph, MO 64506. The listed phone number is (816) 364-3325.

What is Midwestperiodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Midwestperiodontics was last updated on August 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.