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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MADDISEN MARIE OLDHAM DH
NPI 1619890522
Dental Hygienist in Kimberling City, MO

Active since July 30, 2026
11863 STATE HIGHWAY 13, KIMBERLING CITY, MO 65686(417) 739-1995(417) 739-1893 Get Directions Write a Review

NPPES record added: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maddisen Marie Oldham Dh NPPES

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

MADDISEN MARIE OLDHAM DH (NPI 1619890522) is an individual dental hygienist in Kimberling City, Missouri, licensed in Missouri (2021002547) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1619890522
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMADDISEN MARIE OLDHAMCredential: DH
Location Address11863 STATE HIGHWAY 13Kimberling City, MO 65686-8362
Mailing Address1059 Barton DrFordland, MO 65652-7350 · (417) 767-2273 · Fax (417) 767-4054
Phone(417) 739-1995
Fax(417) 739-1893
Sole ProprietorNo
Enumeration DateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1619890522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in MO · 2021002547
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
11863 STATE HIGHWAY 13, Kimberling City, MO 65686
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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.

AMELIA DREW LANGEN RDH
Dental Hygienist
11863 STATE HIGHWAY 13
KIMBERLING CITY, MO 65686
Stone County (417) 739-1995
BENTON DREW TOLLESON LMSW
Social Worker (Clinical)
11863 STATE HIGHWAY 13
KIMBERLING CITY, MO 65686
Stone County (417) 739-1995
FORDLAND CLINIC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
11863 STATE HIGHWAY 13
KIMBERLING CITY, MO 65686
Stone County (417) 739-1995
RENAE JENELLE RICHARDSON
Nurse Practitioner
11863 STATE HIGHWAY 13
KIMBERLING CITY, MO 65686
Stone County (417) 739-1995

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 Maddisen Oldham's NPI number?

The NPI number for Maddisen Oldham is 1619890522. It was assigned to this individual provider in the NPPES registry on July 30, 2026.

Where is Maddisen Oldham located?

Maddisen Oldham practices at 11863 State Highway 13, Kimberling City, MO 65686. The listed phone number is (417) 739-1995.

What is Maddisen Oldham's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Maddisen Oldham was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.