SOUTHTOWN FAMILY DENTAL LLC
NPI 1285465120
Clinic/Center - Dental in Kansas City, MO

Active since August 12, 2024
19 E GREGORY BLVD, KANSAS CITY, MO 64114(816) 603-1737(816) 652-0808 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2025, Aug 12, 2024 (2 updates tracked since 2024).

About Southtown Family Dental Llc NPPES

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

SOUTHTOWN FAMILY DENTAL LLC (NPI 1285465120), doing business as Southtown Family Dental, is a healthcare organization registered as a dental in Kansas City, Missouri and active in the NPI registry since August 2024. The organization lists Richard S Campos, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1285465120
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSOUTHTOWN FAMILY DENTAL LLC
Location Address19 E GREGORY BLVDKansas City, MO 64114-1117
Mailing Address19 E Gregory BlvdKansas City, MO 64114-1117 · (573) 201-9262
Fax(816) 652-0808
Organization SubpartNo
Authorized OfficialRichard S CamposDentist/owner · (816) 603-1737
Enumeration DateAugust 12, 2024
Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
NPI 1285465120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
19 E GREGORY BLVD, Kansas City, MO 64114

Other Names 1

Doing Business AsSouthtown Family Dental

Other Providers at the Same Location NPPES 4

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

Dentist
19 E GREGORY BLVD
KANSAS CITY, MO 64114
Dental Hygienist
19 E GREGORY BLVD
KANSAS CITY, MO 64114
Dentist (General Practice)
19 E GREGORY BLVD
KANSAS CITY, MO 64114
Dentist (General Practice)
19 E GREGORY BLVD
KANSAS CITY, MO 64114

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 Southtown Family Dental LLC's NPI number?

The NPI number for Southtown Family Dental LLC is 1285465120. It was assigned to this organization in the NPPES registry on August 12, 2024. The provider is doing business as Southtown Family Dental.

Where is Southtown Family Dental LLC located?

Southtown Family Dental LLC is located at 19 E Gregory Blvd, Kansas City, MO 64114. The listed phone number is (816) 603-1737.

What is Southtown Family Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Southtown Family Dental LLC was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.