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SMILE DENTAL ASSOCIATES, LLC
NPI 1356716997
Dentist - General Practice in Moberly, MO

Active since December 08, 2015
1620 E ROLLINS ST, MOBERLY, MO 65270(660) 263-6642 Get Directions Write a Review

NPPES record last updated: December 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Smile Dental Associates, Llc NPPES

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

SMILE DENTAL ASSOCIATES, LLC (NPI 1356716997) is a healthcare organization registered as a general practice in Moberly, Missouri and active in the NPI registry since December 2015. The organization lists Kent E Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1356716997
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMILE DENTAL ASSOCIATES, LLC
Location Address1620 E ROLLINS STMoberly, MO 65270-2478
Mailing AddressPo Box 306Moberly, MO 65270-0306 · (660) 263-6642
Phone(660) 263-6642
Organization SubpartNo
Authorized OfficialKent E JohnsonPresident · (660) 263-6642
Enumeration DateDecember 8, 2015
✔ NPI 1356716997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MO · 013322✔ Licensed in MO · 2011015034
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.
1620 E ROLLINS ST, Moberly, MO 65270
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

TROY A HUTINGER DDS PC
Clinic/Center (Dental)
1620 E ROLLINS ST
MOBERLY, MO 65270
Randolph County (660) 263-6642
DR. CARL R LIEBHART DDS
Dentist
1620 E ROLLINS ST
MOBERLY, MO 65270
Randolph County (660) 263-6642

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 Smile Dental Associates, LLC's NPI number?

The NPI number for Smile Dental Associates, LLC is 1356716997. It was assigned to this organization in the NPPES registry on December 8, 2015.

Where is Smile Dental Associates, LLC located?

Smile Dental Associates, LLC is located at 1620 E Rollins St, Moberly, MO 65270. The listed phone number is (660) 263-6642.

What is Smile Dental Associates, 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 Smile Dental Associates, LLC was last updated on December 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.