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BOLIVAR SMILES DENTISTRY, LLC
NPI 1811622525
Dentist - General Practice in Bolivar, MO

Active since July 18, 2022
1300 N OAKLAND AVE STE B, BOLIVAR, MO 65613(417) 326-6061(417) 326-3537 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Jul 18, 2022 (2 updates tracked since 2022).

About Bolivar Smiles Dentistry, Llc NPPES

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

BOLIVAR SMILES DENTISTRY, LLC (NPI 1811622525) is a healthcare organization registered as a general practice in Bolivar, Missouri and active in the NPI registry since July 2022. The organization lists Chad Louis Guerra, Owner, as its authorized official.

NPPES Registry Identity

NPI1811622525
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOLIVAR SMILES DENTISTRY, LLC
Location Address1300 N OAKLAND AVE STE BBolivar, MO 65613-3008
Mailing Address1300 N Oakland Ave Ste BBolivar, MO 65613-3008 · (417) 326-6061 · Fax (417) 326-3537
Phone(417) 326-6061
Fax(417) 326-3537
Organization SubpartNo
Authorized OfficialChad Louis GuerraOwner · (417) 326-3537
Enumeration DateJuly 18, 2022
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedJuly 18, 2022
✔ NPI 1811622525 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.
1300 N OAKLAND AVE STE B, Bolivar, MO 65613
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Other Identifiers 2

Other14888370Caqh Number
Other2009015933MO · State Lincense

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

LACI C BANKS
Dental Hygienist
1300 N OAKLAND AVE STE B
BOLIVAR, MO 65613
Polk County (417) 326-6061
DR. CHAD LOUIS GUERRA D.M.D.
Dentist (General Practice)
1300 N OAKLAND AVE STE B
BOLIVAR, MO 65613
Polk County (417) 770-5145
DR. NATHAN JOHN PULSIPHER DDS
Dentist
1300 N OAKLAND AVE STE B
BOLIVAR, MO 65613
Polk County (417) 326-6061

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 Bolivar Smiles Dentistry, LLC's NPI number?

The NPI number for Bolivar Smiles Dentistry, LLC is 1811622525. It was assigned to this organization in the NPPES registry on July 18, 2022.

Where is Bolivar Smiles Dentistry, LLC located?

Bolivar Smiles Dentistry, LLC is located at 1300 N Oakland Ave Ste B, Bolivar, MO 65613. The listed phone number is (417) 326-6061.

What is Bolivar Smiles Dentistry, 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 Bolivar Smiles Dentistry, LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.