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STATE FAIR DENTAL LLC
NPI 1326644600
Dentist - General Practice in Sedalia, MO

Active since December 10, 2020
1806 W 5TH ST, SEDALIA, MO 65301(972) 869-3789 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About State Fair Dental Llc NPPES

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

STATE FAIR DENTAL LLC (NPI 1326644600), doing business as Hometown Dental, is a healthcare organization registered as a general practice in Sedalia, Missouri and active in the NPI registry since December 2020. The organization lists Faith Gaskins, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1326644600
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSTATE FAIR DENTAL LLC
Location Address1806 W 5TH STSedalia, MO 65301-2420
Mailing Address1806 W 5th StSedalia, MO 65301-2420 · (972) 869-3789
Phone(972) 869-3789
Organization SubpartNo
Authorized OfficialFaith GaskinsDirector Of Credentialing · (630) 877-3520
Enumeration DateDecember 10, 2020
NPPES CertifiedDecember 10, 2020
✔ NPI 1326644600 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.
1806 W 5TH ST, Sedalia, MO 65301
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Other Names 1

Doing Business AsHometown Dental

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 Anthem Blue Cross and Blue Shield.Insurance ›

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 State Fair Dental LLC's NPI number?

The NPI number for State Fair Dental LLC is 1326644600. It was assigned to this organization in the NPPES registry on December 10, 2020. The provider is doing business as Hometown Dental.

Where is State Fair Dental LLC located?

State Fair Dental LLC is located at 1806 W 5th St, Sedalia, MO 65301. The listed phone number is (972) 869-3789.

What is State Fair Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does State Fair Dental LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list State Fair 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 State Fair Dental LLC was last updated on December 10, 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.