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

SMILE UP DENTAL LLC
NPI 1356817340
Dentist - General Practice in Nixa, MO

Active since October 17, 2018
708 W MOUNT VERNON ST, NIXA, MO 65714(417) 494-5017 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Smile Up Dental Llc NPPES

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

SMILE UP DENTAL LLC (NPI 1356817340) is a healthcare organization registered as a general practice in Nixa, Missouri and active in the NPI registry since October 2018. The organization lists Anthony Lee, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1356817340
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMILE UP DENTAL LLC
Location Address708 W MOUNT VERNON STNixa, MO 65714-9682
Mailing Address708 W Mount Vernon StNixa, MO 65714-9682 · (417) 494-5017
Phone(417) 494-5017
Organization SubpartNo
Authorized OfficialAnthony LeeOwner/dentist · (417) 494-5017
Enumeration DateOctober 17, 2018
✔ NPI 1356817340 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.
708 W MOUNT VERNON ST, Nixa, MO 65714
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.

MICHELLE DEARINGER-DAVIS DDS LLC
Dentist
708 W MOUNT VERNON ST
NIXA, MO 65714
Christian County (417) 494-5017
DR. KEVIN R AUSTIN KEVIN R. AUSTIN
Dentist (Orthodontics and Dentofacial Orthopedics)
708 W MOUNT VERNON ST
NIXA, MO 65714
Christian County (417) 725-9600
DR. ANTHONY KYUHYUN LEE DDS
Dentist (General Practice)
708 W MOUNT VERNON ST
NIXA, MO 65714
Christian County (417) 494-5017

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 Up Dental LLC's NPI number?

The NPI number for Smile Up Dental LLC is 1356817340. It was assigned to this organization in the NPPES registry on October 17, 2018.

Where is Smile Up Dental LLC located?

Smile Up Dental LLC is located at 708 W Mount Vernon St, Nixa, MO 65714. The listed phone number is (417) 494-5017.

What is Smile Up Dental LLC's specialty?

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

What insurance does Smile Up Dental LLC 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 2 other insurers list Smile Up 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 Smile Up Dental LLC was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.