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CARTHAGE PEDIATRIC DENTISTRY, P LLC
NPI 1427804103
Dentist - Pediatric Dentistry in Carthage, MO

Active since April 24, 2024
124 W GEORGE E PHELPS BLVD, CARTHAGE, MO 64836(918) 998-0996 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carthage Pediatric Dentistry, P Llc NPPES

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

CARTHAGE PEDIATRIC DENTISTRY, P LLC (NPI 1427804103), doing business as Carthage Pediatric Dental, is a healthcare organization registered as a pediatric dentistry in Carthage, Missouri and active in the NPI registry since April 2024. The organization lists Creed Cardon, President, as its authorized official.

NPPES Registry Identity

NPI1427804103
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCARTHAGE PEDIATRIC DENTISTRY, P LLC
Location Address124 W GEORGE E PHELPS BLVDCarthage, MO 64836-7892
Mailing Address400 Riverwalk Ter Ste 250Jenks, OK 74037-5619 · (918) 998-0996 · Fax (918) 235-9079
Phone(918) 998-0996
Organization SubpartNo
Authorized OfficialCreed CardonPresident · (918) 998-0996
Enumeration DateApril 24, 2024
NPPES CertifiedApril 24, 2024
✔ NPI 1427804103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
124 W GEORGE E PHELPS BLVD, Carthage, MO 64836
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Other Names 1

Doing Business AsCarthage Pediatric 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

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 ›

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 Carthage Pediatric Dentistry, P LLC's NPI number?

The NPI number for Carthage Pediatric Dentistry, P LLC is 1427804103. It was assigned to this organization in the NPPES registry on April 24, 2024. The provider is doing business as Carthage Pediatric Dental.

Where is Carthage Pediatric Dentistry, P LLC located?

Carthage Pediatric Dentistry, P LLC is located at 124 W George E Phelps Blvd, Carthage, MO 64836. The listed phone number is (918) 998-0996.

What is Carthage Pediatric Dentistry, P LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Carthage Pediatric Dentistry, P 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 9 other insurers list Carthage Pediatric Dentistry, P 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 Carthage Pediatric Dentistry, P LLC was last updated on April 24, 2024. 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.