WISDOM DENTAL GROUP EXCELSIOR SPRINGS LLC
NPI 1366317653
Dentist in Excelsior Springs, MO

Q: What is Wisdom Dental Group Excelsior Springs LLC's specialty?

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

Active since October 07, 2025

197 S MCCLEARY RD, EXCELSIOR SPRINGS, MO 64024(816) 573-0077 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wisdom Dental Group Excelsior Springs Llc NPPES

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

WISDOM DENTAL GROUP EXCELSIOR SPRINGS LLC (NPI 1366317653), doing business as Wisdom Dental Group, is a healthcare organization registered as a dentist in Excelsior Springs, Missouri and active in the NPI registry since October 2025. The organization lists Jonah Foutz, Member, as its authorized official.

NPPES Registry Identity

NPI1366317653

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameWISDOM DENTAL GROUP EXCELSIOR SPRINGS LLC

Location Address197 S MCCLEARY RDExcelsior Springs, MO 64024

Mailing Address1489 Hemlock CtLiberty, MO 64068-3724 · (816) 573-0077

Phone(816) 573-0077

Organization SubpartNo

Authorized OfficialJonah FoutzMember · (816) 573-0077

Enumeration DateOctober 7, 2025

NPPES CertifiedSeptember 23, 2025

✔ NPI 1366317653 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.

197 S MCCLEARY RD, Excelsior Springs, MO 64024

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Other Names 1

Doing Business AsWisdom Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Wisdom Dental Group Excelsior Springs LLC's NPI number?

The NPI number for Wisdom Dental Group Excelsior Springs LLC is 1366317653. It was assigned to this organization in the NPPES registry on October 7, 2025. The provider is doing business as Wisdom Dental Group.

Where is Wisdom Dental Group Excelsior Springs LLC located?

Wisdom Dental Group Excelsior Springs LLC is located at 197 S Mccleary Rd, Excelsior Springs, MO 64024. The listed phone number is (816) 573-0077.

What is Wisdom Dental Group Excelsior Springs LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Wisdom Dental Group Excelsior Springs LLC was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.