CARTHAGE DENTAL ASSOCIATES LLC
NPI 1730904186
Dentist - General Practice in Carthage, MO

Active since November 20, 2024
626 W CENTENNIAL AVE, CARTHAGE, MO 64836(417) 358-9006 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carthage Dental Associates Llc NPPES

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

CARTHAGE DENTAL ASSOCIATES LLC (NPI 1730904186) is a healthcare organization registered as a general practice in Carthage, Missouri and active in the NPI registry since November 2024. The organization lists Katrina M Wicklund, Dentist, as its authorized official.

NPPES Registry Identity

NPI1730904186
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCARTHAGE DENTAL ASSOCIATES LLC
Location Address626 W CENTENNIAL AVECarthage, MO 64836-2846
Mailing Address626 W Centennial AveCarthage, MO 64836-2846 · (417) 358-9006
Organization SubpartNo
Authorized OfficialKatrina M WicklundDentist · (417) 358-9006
Enumeration DateNovember 20, 2024
NPPES CertifiedNovember 20, 2024
NPI 1730904186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
626 W CENTENNIAL AVE, Carthage, MO 64836

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 5

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

Dentist (General Practice)
626 W CENTENNIAL AVE
CARTHAGE, MO 64836
Dentist (General Practice)
626 W CENTENNIAL AVE
CARTHAGE, MO 64836
Clinic/Center (Dental)
626 W CENTENNIAL AVE
CARTHAGE, MO 64836
Psychiatry & Neurology (Psychiatry)
626 W CENTENNIAL AVE
CARTHAGE, MO 64836
Dentist
626 W CENTENNIAL AVE
CARTHAGE, MO 64836

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 Carthage Dental Associates LLC's NPI number?

The NPI number for Carthage Dental Associates LLC is 1730904186. It was assigned to this organization in the NPPES registry on November 20, 2024.

Where is Carthage Dental Associates LLC located?

Carthage Dental Associates LLC is located at 626 W Centennial Ave, Carthage, MO 64836. The listed phone number is (417) 358-9006.

What is Carthage Dental Associates LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Carthage Dental Associates LLC was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.