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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CREEKSIDE DENTAL GROUP LLC
NPI 1770493918
Dentist in Parkville, MO

Active since September 10, 2026
15325 OLD TOWN DR STE 110, PARKVILLE, MO 64152(816) 957-1955(816) 957-1956 Get Directions Write a Review

NPPES record added: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Creekside Dental Group Llc NPPES

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

CREEKSIDE DENTAL GROUP LLC (NPI 1770493918) is a healthcare organization registered as a dentist in Parkville, Missouri and active in the NPI registry since September 2026. The organization lists Matthew Tinnel, Owner, as its authorized official.

NPPES Registry Identity

NPI1770493918
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCREEKSIDE DENTAL GROUP LLC
Location Address15325 OLD TOWN DR STE 110Parkville, MO 64152-2523
Mailing Address15325 Old Town Dr Ste 110Parkville, MO 64152-2523 · (816) 957-1955 · Fax (816) 957-1956
Phone(816) 957-1955
Fax(816) 957-1956
Organization SubpartNo
Authorized OfficialMatthew TinnelOwner · (913) 620-9073
Enumeration DateSeptember 10, 2026
NPPES CertifiedSeptember 10, 2026
✔ NPI 1770493918 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.
15325 OLD TOWN DR STE 110, Parkville, MO 64152
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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

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 Creekside Dental Group LLC's NPI number?

The NPI number for Creekside Dental Group LLC is 1770493918. It was assigned to this organization in the NPPES registry on September 10, 2026.

Where is Creekside Dental Group LLC located?

Creekside Dental Group LLC is located at 15325 Old Town Dr Ste 110, Parkville, MO 64152. The listed phone number is (816) 957-1955.

What is Creekside Dental Group 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 Creekside Dental Group LLC was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.