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NEOSHO KIDS DENTAL, LLC
NPI 1851101422
Dentist - Pediatric Dentistry in Neosho, MO

Active since January 07, 2025
3201 LUSK DR STE 111K, NEOSHO, MO 64850(918) 998-0996 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Neosho Kids Dental, Llc NPPES

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

NEOSHO KIDS DENTAL, LLC (NPI 1851101422), doing business as Neosho Kids Dental, is a healthcare organization registered as a pediatric dentistry in Neosho, Missouri and active in the NPI registry since January 2025. The organization lists Creed Cardon, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1851101422
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameNEOSHO KIDS DENTAL, LLC
Location Address3201 LUSK DR STE 111KNeosho, MO 64850-2019
Mailing Address400 Riverwalk Ter Ste 250Jenks, OK 74037-5619 · (918) 998-0996 · Fax (918) 235-9079
Phone(918) 998-0996
Organization SubpartNo
Authorized OfficialCreed CardonOwner/dentist · (918) 998-0996
Enumeration DateJanuary 7, 2025
NPPES CertifiedJanuary 7, 2025
✔ NPI 1851101422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3201 LUSK DR STE 111K, Neosho, MO 64850
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Other Names 1

Doing Business AsNeosho Kids Dental

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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 Neosho Kids Dental, LLC's NPI number?

The NPI number for Neosho Kids Dental, LLC is 1851101422. It was assigned to this organization in the NPPES registry on January 7, 2025. The provider is doing business as Neosho Kids Dental.

Where is Neosho Kids Dental, LLC located?

Neosho Kids Dental, LLC is located at 3201 Lusk Dr Ste 111K, Neosho, MO 64850. The listed phone number is (918) 998-0996.

What is Neosho Kids Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Neosho Kids Dental, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Neosho Kids Dental, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Neosho Kids Dental, LLC was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.