JON L REAGAN DDS PC
NPI 1609753862
Dentist - General Practice in Neosho, MO

Active since August 19, 2025
1112 BAXTER ST, NEOSHO, MO 64850(314) 408-2449 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jon L Reagan Dds Pc NPPES

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

JON L REAGAN DDS PC (NPI 1609753862), doing business as Family Dentistry Of Neosho, is a healthcare organization registered as a general practice in Neosho, Missouri and active in the NPI registry since August 2025. The organization lists Pam Draper, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1609753862
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJON L REAGAN DDS PC
Location Address1112 BAXTER STNeosho, MO 64850-7814
Mailing Address1112 Baxter StNeosho, MO 64850-7814 · (314) 408-2449
Organization SubpartNo
Authorized OfficialPam DraperVp Of Operations · (602) 391-4086
Enumeration DateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
NPI 1609753862 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.

1112 BAXTER ST, Neosho, MO 64850

Other Names 1

Doing Business AsFamily Dentistry Of Neosho

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

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.

Dentist (General Practice)
1112 BAXTER ST
NEOSHO, MO 64850
Dentist
1112 BAXTER ST
NEOSHO, MO 64850
Dentist (General Practice)
1112 BAXTER ST
NEOSHO, MO 64850

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609753862, enumerated as an "organization" on August 19, 2025.

The provider is located at 1112 BAXTER ST NEOSHO, MO 64850 and the phone number is (314) 408-2449.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.