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FORMANEK DDS LLC
NPI 1508355900
Dentist - General Practice in Jefferson City, MO

Active since May 02, 2018
2226 MISSOURI BLVD, JEFFERSON CITY, MO 65109(573) 658-4022 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2023, Apr 3, 2023, May 2, 2018 (3 updates tracked since 2018).

About Formanek Dds Llc NPPES

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

FORMANEK DDS LLC (NPI 1508355900) is a healthcare organization registered as a general practice in Jefferson City, Missouri and active in the NPI registry since May 2018. The organization lists Joseph Formanek, Owner, as its authorized official.

NPPES Registry Identity

NPI1508355900
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFORMANEK DDS LLC
Location Address2226 MISSOURI BLVDJefferson City, MO 65109-4727
Mailing AddressPo Box 70887Cleveland, OH 44190-7088
Phone(573) 658-4022
Organization SubpartNo
Authorized OfficialJoseph FormanekOwner · (573) 658-4022
Enumeration DateMay 2, 2018
Last NPPES UpdateJune 13, 20233 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1508355900 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.
2226 MISSOURI BLVD, Jefferson City, MO 65109
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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

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.

BHAVIK NILESH PATEL DDS
Dentist
2226 MISSOURI BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 658-4022
DR. OLUWASEUN OGINNI DDS
Dentist (General Practice)
2226 MISSOURI BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 658-4022
SAXON BURTON TEUBNER DDS
Dentist (General Practice)
2226 MISSOURI BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 658-4022

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 Formanek Dds LLC's NPI number?

The NPI number for Formanek Dds LLC is 1508355900. It was assigned to this organization in the NPPES registry on May 2, 2018.

Where is Formanek Dds LLC located?

Formanek Dds LLC is located at 2226 Missouri Blvd, Jefferson City, MO 65109. The listed phone number is (573) 658-4022.

What is Formanek Dds LLC's specialty?

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

What insurance does Formanek Dds 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 3 other insurers list Formanek Dds 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 Formanek Dds LLC was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.