AUGUSTINE DENTAL LLC
NPI 1689538464
Dentist in Lees Summit, MO

Active since December 15, 2025
103 NE DOUGLAS ST, LEES SUMMIT, MO 64063(816) 524-1337 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Augustine Dental Llc NPPES

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

AUGUSTINE DENTAL LLC (NPI 1689538464) is a healthcare organization registered as a dentist in Lees Summit, Missouri and active in the NPI registry since December 2025. The organization lists Ashli Gill, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1689538464
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameAUGUSTINE DENTAL LLC
Location Address103 NE DOUGLAS STLees Summit, MO 64063-2037
Mailing Address103 Ne Douglas StLees Summit, MO 64063-2037 · (816) 524-1337
Organization SubpartNo
Authorized OfficialAshli GillPractice Administrator · (785) 766-2363
Enumeration DateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
NPI 1689538464 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.
103 NE DOUGLAS ST, Lees Summit, MO 64063

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 2

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

Dentist
103 NE DOUGLAS ST
LEES SUMMIT, MO 64063
Dentist (General Practice)
103 NE DOUGLAS ST
LEES SUMMIT, MO 64063

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 Augustine Dental LLC's NPI number?

The NPI number for Augustine Dental LLC is 1689538464. It was assigned to this organization in the NPPES registry on December 15, 2025.

Where is Augustine Dental LLC located?

Augustine Dental LLC is located at 103 NE Douglas St, Lees Summit, MO 64063. The listed phone number is (816) 524-1337.

What is Augustine Dental LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Augustine Dental LLC was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.