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MISSOURI SMILES LLC
NPI 1508549130
Clinic/Center - Dental in Columbia, MO

Active since August 10, 2023
3621 DISCOVERY PARKWAY, STE 101, COLUMBIA, MO 65201(573) 424-2067 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Missouri Smiles Llc NPPES

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

MISSOURI SMILES LLC (NPI 1508549130), doing business as Tbd, is a healthcare organization registered as a dental in Columbia, Missouri and active in the NPI registry since August 2023. The organization lists Kyle Lisenby, Dentist Owner, as its authorized official.

NPPES Registry Identity

NPI1508549130
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMISSOURI SMILES LLC
Location Address3621 DISCOVERY PARKWAY, STE 101Columbia, MO 65201
Mailing Address2102 Port Townsend CtColumbia, MO 65203-1014 · (573) 424-2067
Phone(573) 424-2067
Organization SubpartNo
Authorized OfficialKyle LisenbyDentist Owner · (573) 424-2067
Enumeration DateAugust 10, 2023
NPPES CertifiedAugust 8, 2023
✔ NPI 1508549130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3621 DISCOVERY PARKWAY, Columbia, MO 65201
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Other Names 1

Doing Business AsTbd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 Missouri Smiles LLC's NPI number?

The NPI number for Missouri Smiles LLC is 1508549130. It was assigned to this organization in the NPPES registry on August 10, 2023. The provider is doing business as Tbd.

Where is Missouri Smiles LLC located?

Missouri Smiles LLC is located at 3621 Discovery Parkway Ste 101, Columbia, MO 65201. The listed phone number is (573) 424-2067.

What is Missouri Smiles LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Missouri Smiles LLC accept?

Health plans from UnitedHealthcare list Missouri Smiles 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 Missouri Smiles LLC was last updated on August 10, 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.