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ST. JOSEPH FAMILY DENTAL, LLC
NPI 1215864905
Dentist - General Practice in Saint Joseph, MO

Active since May 06, 2026
3904 BECK RD STE 110, SAINT JOSEPH, MO 64506(816) 233-2672(816) 233-4725 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, May 6, 2026 (2 updates tracked since 2026).

About St. Joseph Family Dental, Llc NPPES

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

ST. JOSEPH FAMILY DENTAL, LLC (NPI 1215864905) is a healthcare organization registered as a general practice in Saint Joseph, Missouri and active in the NPI registry since May 2026. The organization lists Kaitlyn Walters, Owner, as its authorized official.

NPPES Registry Identity

NPI1215864905
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameST. JOSEPH FAMILY DENTAL, LLC
Location Address3904 BECK RD STE 110Saint Joseph, MO 64506-5037
Mailing Address3904 Beck Rd Ste 110Saint Joseph, MO 64506-5037 · (816) 233-2672 · Fax (816) 233-4725
Phone(816) 233-2672
Fax(816) 233-4725
Organization SubpartNo
Authorized OfficialKaitlyn WaltersOwner · (816) 233-2672
Enumeration DateMay 6, 2026
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1215864905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
3904 BECK RD STE 110, 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 2

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

DR. VAN LUKE HOPKINS DDS
Dentist
3904 BECK RD STE 110
SAINT JOSEPH, MO 64506
Buchanan County (816) 233-2672
ST. JOSEPH FAMILY DENTAL, LLC
Clinic/Center (Dental)
3904 BECK RD STE 110
SAINT JOSEPH, MO 64506
Buchanan County (816) 233-2672

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 St. Joseph Family Dental, LLC's NPI number?

The NPI number for St. Joseph Family Dental, LLC is 1215864905. It was assigned to this organization in the NPPES registry on May 6, 2026.

Where is St. Joseph Family Dental, LLC located?

St. Joseph Family Dental, LLC is located at 3904 Beck Rd Ste 110, Saint Joseph, MO 64506. The listed phone number is (816) 233-2672.

What is St. Joseph Family Dental, LLC'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 St. Joseph Family Dental, LLC was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.