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AZURE DENTAL, LLC
NPI 1619675907
Clinic/Center - Dental in Saint Joseph, MO

Active since February 16, 2023
420 S WOODBINE RD, SAINT JOSEPH, MO 64506(816) 232-8788 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Azure Dental, Llc NPPES

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

AZURE DENTAL, LLC (NPI 1619675907), doing business as St. Joseph Advanced Dental Center, is a healthcare organization registered as a dental in Saint Joseph, Missouri and active in the NPI registry since February 2023. The organization lists Stacia Weddle, Insurance Specialist, as its authorized official.

NPPES Registry Identity

NPI1619675907
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameAZURE DENTAL, LLC
Location Address420 S WOODBINE RDSaint Joseph, MO 64506-3468
Mailing Address420 S Woodbine RdSaint Joseph, MO 64506-3468
Phone(816) 232-8788
Organization SubpartNo
Authorized OfficialStacia WeddleInsurance Specialist · (816) 229-4560
Enumeration DateFebruary 16, 2023
NPPES CertifiedFebruary 15, 2023
✔ NPI 1619675907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
420 S WOODBINE RD, Saint Joseph, MO 64506
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Other Names 1

Doing Business AsSt. Joseph Advanced Dental Center

Other Providers at the Same Location NPPES 4

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

JONAH SIEGFRIED KORONDI DDS
Dentist
420 S WOODBINE RD
SAINT JOSEPH, MO 64506
Buchanan County (816) 232-8788
DR. SHALEY ASHTON BAKER DDS
Dentist (General Practice)
420 S WOODBINE RD
SAINT JOSEPH, MO 64506
Buchanan County (816) 232-8788
DR. MICHAEL S HOLLINGSWORTH DDS
Dentist (General Practice)
420 S WOODBINE RD
SAINT JOSEPH, MO 64506
Buchanan County (816) 232-8788
MICHAEL S. HOLLINGSWORTH, DDS PC
Dentist (General Practice)
420 S WOODBINE RD
SAINT JOSEPH, MO 64506
Buchanan County (816) 232-8788

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 Azure Dental, LLC's NPI number?

The NPI number for Azure Dental, LLC is 1619675907. It was assigned to this organization in the NPPES registry on February 16, 2023. The provider is doing business as St. Joseph Advanced Dental Center.

Where is Azure Dental, LLC located?

Azure Dental, LLC is located at 420 S Woodbine Rd, Saint Joseph, MO 64506. The listed phone number is (816) 232-8788.

What is Azure Dental, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Azure Dental, LLC was last updated on February 16, 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.