DR. JACKY CLAY STANDLEE D.D.S.
NPI 1265442107
Dentist in Jefferson City, MO

Q: What is Jacky Standlee's NPI number?

The NPI number for Jacky Standlee is 1265442107. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is Jacky Standlee's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacky Standlee was last updated on July 8, 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.

Active since August 09, 2006

WESTSIDE DENTAL 994 DIAMOND RIDGE, STE 202, JEFFERSON CITY, MO 65109(573) 893-4402(573) 632-4398 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jacky Clay Standlee D.d.s. NPPES

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

DR. JACKY CLAY STANDLEE D.D.S. (NPI 1265442107) is an individual dentist in Jefferson City, Missouri, licensed in Missouri (014960) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1265442107

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JACKY CLAY STANDLEECredential: D.D.S.

Location AddressWESTSIDE DENTAL 994 DIAMOND RIDGE, STE 202Jefferson City, MO 65109

Mailing Address5405 Wardsville RdJefferson City, MO 65101-8744 · (573) 634-7313

Phone(573) 893-4402

Fax(573) 632-4398

Sole ProprietorYes

Enumeration DateAugust 9, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1265442107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 014960

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.

WESTSIDE DENTAL 994 DIAMOND RIDGE, Jefferson City, MO 65109

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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 Jacky Standlee's NPI number?

The NPI number for Jacky Standlee is 1265442107. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Jacky Standlee located?

Jacky Standlee practices at Westside Dental 994 Diamond Ridge Ste 202, Jefferson City, MO 65109. The listed phone number is (573) 893-4402.

What is Jacky Standlee's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacky Standlee was last updated on July 8, 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.