ADVANCED DENTISTRY OF NEVADA MISSOURI
NPI 1649070442
Clinic/Center - Dental in Nevada, MO

Active since March 19, 2025
1701 W AUSTIN BLVD, NEVADA, MO 64772(417) 667-7134 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Dentistry Of Nevada Missouri NPPES

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

ADVANCED DENTISTRY OF NEVADA MISSOURI (NPI 1649070442), doing business as Advanced Dentistry Of Nevada, is a healthcare organization registered as a dental in Nevada, Missouri and active in the NPI registry since March 2025. The organization lists Caleb Johnsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1649070442
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameADVANCED DENTISTRY OF NEVADA MISSOURI
Location Address1701 W AUSTIN BLVDNevada, MO 64772-3720
Mailing Address1701 W Austin BlvdNevada, MO 64772-3720 · (417) 667-7134
Organization SubpartNo
Authorized OfficialCaleb JohnsenOwner · (816) 541-1897
Enumeration DateMarch 19, 2025
NPPES CertifiedMarch 19, 2025
NPI 1649070442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1701 W AUSTIN BLVD, Nevada, MO 64772

Other Names 1

Doing Business AsAdvanced Dentistry Of Nevada

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.

Dentist (General Practice)
1701 W AUSTIN BLVD
NEVADA, MO 64772
Clinic/Center (Dental)
1701 W AUSTIN BLVD
NEVADA, MO 64772

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 Advanced Dentistry Of Nevada Missouri's NPI number?

The NPI number for Advanced Dentistry Of Nevada Missouri is 1649070442. It was assigned to this organization in the NPPES registry on March 19, 2025. The provider is doing business as Advanced Dentistry of Nevada.

Where is Advanced Dentistry Of Nevada Missouri located?

Advanced Dentistry Of Nevada Missouri is located at 1701 W Austin Blvd, Nevada, MO 64772. The listed phone number is (417) 667-7134.

What is Advanced Dentistry Of Nevada Missouri'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 Advanced Dentistry Of Nevada Missouri was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.