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

MISSOURI DENTAL SPECIALISTS
NPI 1518427079
Dentist - Endodontics in Jefferson City, MO

Active since March 21, 2019
1002 DIAMOND RDG STE 1500, JEFFERSON CITY, MO 65109(573) 298-4400(573) 616-1489 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 21, 2020, Mar 21, 2019 (2 updates tracked since 2019).

About Missouri Dental Specialists NPPES

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

MISSOURI DENTAL SPECIALISTS (NPI 1518427079) is a healthcare organization registered as an endodontics in Jefferson City, Missouri and active in the NPI registry since March 2019. The organization maintains 2 additional practice locations and lists Edna Rose Livingston, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1518427079
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameMISSOURI DENTAL SPECIALISTS
Location Address1002 DIAMOND RDG STE 1500Jefferson City, MO 65109-7914
Mailing Address1002 Diamond Rdg Ste 1500Jefferson City, MO 65109-7914 · (573) 298-4400 · Fax (573) 616-1489
Phone(573) 298-4400
Fax(573) 616-1489
Organization SubpartNo
Authorized OfficialEdna Rose LivingstonPractice Manager · (573) 298-4400
Enumeration DateMarch 21, 2019
Last NPPES UpdateMay 21, 20202 updates tracked since enumeration
NPPES CertifiedMay 21, 2020
✔ NPI 1518427079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
1002 DIAMOND RDG STE 1500, Jefferson City, MO 65109
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11811 Martin Springs Dr Ste BRolla, MO 65401-2978 · Phone (573) 299-0300 · Fax (573) 299-0400
Location 2555 E Green Meadows Rd Ste 104Columbia, MO 65201-3772 · Phone (573) 443-3600 · Fax (573) 874-9639

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERICK A JANSSON DDS
Dentist (Endodontics)
1002 DIAMOND RDG STE 1500
JEFFERSON CITY, MO 65109
Cole County (573) 298-4400
DR. IVAN M LARSEN D.M.D
Dentist (Endodontics)
1002 DIAMOND RDG STE 1500
JEFFERSON CITY, MO 65109
Cole County (573) 298-4400

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 Dental Specialists's NPI number?

The NPI number for Missouri Dental Specialists is 1518427079. It was assigned to this organization in the NPPES registry on March 21, 2019.

Where is Missouri Dental Specialists located?

Missouri Dental Specialists is located at 1002 Diamond Rdg Ste 1500, Jefferson City, MO 65109. The listed phone number is (573) 298-4400.

What is Missouri Dental Specialists's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Missouri Dental Specialists was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.