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PACIFIC DENTAL CENTER
NPI 1790429983
Clinic/Center - Dental in Pacific, MO

Active since April 24, 2022
305 E OSAGE ST STE 3, PACIFIC, MO 63069(636) 257-3997 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 27, 2022, Apr 24, 2022 (2 updates tracked since 2022).

About Pacific Dental Center NPPES

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

PACIFIC DENTAL CENTER (NPI 1790429983) is a healthcare organization registered as a dental in Pacific, Missouri and active in the NPI registry since April 2022. The organization lists Carl Graves, Dds, as its authorized official.

NPPES Registry Identity

NPI1790429983
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePACIFIC DENTAL CENTER
Location Address305 E OSAGE ST STE 3Pacific, MO 63069-1621
Mailing Address921 Lakeland DrPacific, MO 63069-1076 · (850) 712-2307
Phone(636) 257-3997
Organization SubpartNo
Authorized OfficialCarl GravesDds · (850) 712-2307
Enumeration DateApril 24, 2022
Last NPPES UpdateApril 27, 20222 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
✔ NPI 1790429983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
305 E OSAGE ST STE 3, Pacific, MO 63069
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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 Pacific Dental Center's NPI number?

The NPI number for Pacific Dental Center is 1790429983. It was assigned to this organization in the NPPES registry on April 24, 2022.

Where is Pacific Dental Center located?

Pacific Dental Center is located at 305 E Osage St Ste 3, Pacific, MO 63069. The listed phone number is (636) 257-3997.

What is Pacific Dental Center'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 Pacific Dental Center was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.