SOUTH INDEPENDENCE DENTAL LLC
NPI 1245842202
Dentist in Independence, MO

Q: What is South Independence Dental LLC's NPI number?

The NPI number for South Independence Dental LLC is 1245842202. It was assigned to this organization in the NPPES registry on August 20, 2020.

Q: What is South Independence Dental LLC's specialty?

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

Active since August 20, 2020

12400 E 40 HWY, INDEPENDENCE, MO 64055(816) 897-5850(816) 897-5851 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 14, 2020, Aug 20, 2020 (2 updates tracked since 2020).

On this page

About South Independence Dental Llc NPPES

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

SOUTH INDEPENDENCE DENTAL LLC (NPI 1245842202) is a healthcare organization registered as a dentist in Independence, Missouri and active in the NPI registry since August 2020. The organization lists Michael Lee, Partner, as its authorized official.

NPPES Registry Identity

NPI1245842202

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSOUTH INDEPENDENCE DENTAL LLC

Location Address12400 E 40 HWYIndependence, MO 64055-5929

Mailing Address12400 E 40 HwyIndependence, MO 64055-5929 · (816) 897-5850 · Fax (816) 897-5851

Phone(816) 897-5850

Fax(816) 897-5851

Organization SubpartNo

Authorized OfficialMichael LeePartner · (816) 897-5850

Enumeration DateAugust 20, 2020

Last NPPES UpdateSeptember 14, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2020

✔ NPI 1245842202 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.

12400 E 40 HWY, Independence, MO 64055

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest Insurance Company-MO, UnitedHealthcare.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.

DR. MICHAEL LEE D.D.S.

Dentist

12400 E 40 HWY
INDEPENDENCE, MO 64055

Jackson County (816) 897-5850

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 South Independence Dental LLC's NPI number?

The NPI number for South Independence Dental LLC is 1245842202. It was assigned to this organization in the NPPES registry on August 20, 2020.

Where is South Independence Dental LLC located?

South Independence Dental LLC is located at 12400 E 40 Hwy, Independence, MO 64055. The listed phone number is (816) 897-5850.

What is South Independence Dental LLC's specialty?

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

What insurance does South Independence Dental LLC accept?

Health plans from DentaQuest Insurance Company-MO and UnitedHealthcare list South Independence Dental LLC 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 South Independence Dental LLC was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.