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

MISSOURI KIDS DENTAL LLC
NPI 1356201479
Dentist - General Practice in Joplin, MO

Active since November 12, 2025
732 S RANGE LINE RD STE D, JOPLIN, MO 64801(480) 866-8811 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2025, Nov 12, 2025 (2 updates tracked since 2025).

About Missouri Kids Dental Llc NPPES

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

MISSOURI KIDS DENTAL LLC (NPI 1356201479), doing business as Missouri Kids Dental, is a healthcare organization registered as a general practice in Joplin, Missouri and active in the NPI registry since November 2025. The organization lists Teresa Zwicky, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1356201479
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMISSOURI KIDS DENTAL LLC
Location Address732 S RANGE LINE RD STE DJoplin, MO 64801-5519
Mailing Address732 S Range Line Rd Ste DJoplin, MO 64801-5519 · (417) 586-1396
Phone(480) 866-8811
Organization SubpartNo
Authorized OfficialTeresa ZwickyCredentialing Manager · (480) 866-8811
Enumeration DateNovember 12, 2025
Last NPPES UpdateJune 11, 20262 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1356201479 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.
732 S RANGE LINE RD STE D, Joplin, MO 64801
Open in Google Maps ↗

Other Names 1

Doing Business AsMissouri Kids 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

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 Missouri Kids Dental LLC's NPI number?

The NPI number for Missouri Kids Dental LLC is 1356201479. It was assigned to this organization in the NPPES registry on November 12, 2025. The provider is doing business as Missouri Kids Dental.

Where is Missouri Kids Dental LLC located?

Missouri Kids Dental LLC is located at 732 S Range Line Rd Ste D, Joplin, MO 64801. The listed phone number is (480) 866-8811.

What is Missouri Kids Dental LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Missouri Kids Dental LLC was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.