SOUTHEAST MISSOURI HEALTH NETWORK
NPI 1679019491
Dentist in East Prairie, MO

Active since January 18, 2017
111 PRAIRIE DRIVE, EAST PRAIRIE, MO 63845(573) 649-9311(573) 649-9331 Get Directions Write a Review

NPPES record last updated: November 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2017, Jul 3, 2017, Mar 14, 2017 and 2 more (5 updates tracked since 2017).

About Southeast Missouri Health Network NPPES

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

SOUTHEAST MISSOURI HEALTH NETWORK (NPI 1679019491) is a healthcare organization registered as a dentist in East Prairie, Missouri and active in the NPI registry since January 2017. The organization maintains a secondary practice location in East Prairie and lists Sara Deane, Cfo, as its authorized official.

NPPES Registry Identity

NPI1679019491
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSOUTHEAST MISSOURI HEALTH NETWORK
Location Address111 PRAIRIE DRIVEEast Prairie, MO 63845
Mailing Address111 Prairie DriveEast Prairie, MO 63845 · (573) 649-9311 · Fax (573) 649-9331
Fax(573) 649-9331
Organization SubpartYes
Authorized OfficialSara DeaneCfo · (573) 313-2500
Enumeration DateJanuary 18, 2017
Last NPPES UpdateNovember 9, 20175 updates tracked since enumeration
NPI 1679019491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
111 PRAIRIE DRIVE, East Prairie, MO 63845

Secondary Practice Location 1

Location 1111 Prairie Dr, STE A & BEast Prairie, MO 63845-1114 · Phone (573) 649-9311 · Fax (573) 649-9331

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dental Hygienist
111 PRAIRIE DRIVE
EAST PRAIRIE, MO 63845

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 Southeast Missouri Health Network's NPI number?

The NPI number for Southeast Missouri Health Network is 1679019491. It was assigned to this organization in the NPPES registry on January 18, 2017.

Where is Southeast Missouri Health Network located?

Southeast Missouri Health Network is located at 111 Prairie Drive, East Prairie, MO 63845. The listed phone number is (573) 649-9311.

What is Southeast Missouri Health Network's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Southeast Missouri Health Network accept?

Health plans from UnitedHealthcare list Southeast Missouri Health Network as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeast Missouri Health Network was last updated on November 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.