1. Home
  2. Directory
  3. Missouri
  4. Springfield
  5. Dentist
  6. NPI Profile

SPRINGFIELD KIDS DENTAL PLLC
NPI 1336805753
Dentist in Springfield, MO

Active since November 10, 2021
1802 W KEARNEY ST, SPRINGFIELD, MO 65803(918) 998-0996 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2023, Nov 10, 2021 (2 updates tracked since 2021).

About Springfield Kids Dental Pllc NPPES

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

SPRINGFIELD KIDS DENTAL PLLC (NPI 1336805753) is a healthcare organization registered as a dentist in Springfield, Missouri and active in the NPI registry since November 2021. The organization lists Creed Cardon, Owner, as its authorized official.

NPPES Registry Identity

NPI1336805753
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSPRINGFIELD KIDS DENTAL PLLC
Location Address1802 W KEARNEY STSpringfield, MO 65803-1647
Mailing Address400 Riverwalk Ter Ste 250Jenks, OK 74037-5619 · (918) 998-0996
Phone(918) 998-0996
Organization SubpartNo
Authorized OfficialCreed CardonOwner · (918) 998-0996
Enumeration DateNovember 10, 2021
Last NPPES UpdateNovember 8, 20232 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
✔ NPI 1336805753 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.
1802 W KEARNEY ST, Springfield, MO 65803
Open in Google Maps ↗

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 Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

JOSHUA BULLOCK DMD
Dentist (Pediatric Dentistry)
1802 W KEARNEY ST
SPRINGFIELD, MO 65803
Greene County (417) 567-8227
MICAYLA SHRIMPTON DDS
Dentist (Pediatric Dentistry)
1802 W KEARNEY ST
SPRINGFIELD, MO 65803
Greene County (417) 567-8227
CAILEEN BRITTANY SYLVESTER DMD
Dentist (Pediatric Dentistry)
1802 W KEARNEY ST
SPRINGFIELD, MO 65803
Greene County (417) 567-8227

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 Springfield Kids Dental PLLC's NPI number?

The NPI number for Springfield Kids Dental PLLC is 1336805753. It was assigned to this organization in the NPPES registry on November 10, 2021.

Where is Springfield Kids Dental PLLC located?

Springfield Kids Dental PLLC is located at 1802 W Kearney St, Springfield, MO 65803. The listed phone number is (918) 998-0996.

What is Springfield Kids Dental PLLC's specialty?

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

What insurance does Springfield Kids Dental PLLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Springfield Kids Dental PLLC 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 Springfield Kids Dental PLLC was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.