1. Home
  2. Directory
  3. Missouri
  4. Raytown
  5. Dentist
  6. NPI Profile

RAYTOWN DENTAL PLLC
NPI 1205416047
Dentist in Raytown, MO

Active since April 14, 2021
10208 E STATE ROUTE 350, RAYTOWN, MO 64138(816) 356-2476 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2023, Apr 14, 2021 (2 updates tracked since 2021).

About Raytown Dental Pllc NPPES

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

RAYTOWN DENTAL PLLC (NPI 1205416047) is a healthcare organization registered as a dentist in Raytown, Missouri and active in the NPI registry since April 2021. The organization lists Creed Cardon, Owner, as its authorized official.

NPPES Registry Identity

NPI1205416047
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameRAYTOWN DENTAL PLLC
Location Address10208 E STATE ROUTE 350Raytown, MO 64138-1805
Mailing Address400 Riverwalk Ter Ste 250Jenks, OK 74037-5619 · (918) 998-0996
Phone(816) 356-2476
Organization SubpartNo
Authorized OfficialCreed CardonOwner · (918) 998-0996
Enumeration DateApril 14, 2021
Last NPPES UpdateNovember 8, 20232 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
✔ NPI 1205416047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
10208 E STATE ROUTE 350, Raytown, MO 64138
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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.

MICHAEL WOODHEAD DMD
Dentist
10208 E STATE ROUTE 350
RAYTOWN, MO 64138
Jackson County (816) 356-2476

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 Raytown Dental PLLC's NPI number?

The NPI number for Raytown Dental PLLC is 1205416047. It was assigned to this organization in the NPPES registry on April 14, 2021.

Where is Raytown Dental PLLC located?

Raytown Dental PLLC is located at 10208 E State Route 350, Raytown, MO 64138. The listed phone number is (816) 356-2476.

What is Raytown Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Raytown Dental PLLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Raytown Dental PLLC 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 Raytown Dental PLLC was last updated on November 8, 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.