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GRANT T KIRK DDS LLC
NPI 1851916969
Clinic/Center - Dental in Joplin, MO

Active since June 15, 2020
4402 E 32ND ST STE B, JOPLIN, MO 64804(417) 781-2900 Get Directions Write a Review

NPPES record last updated: June 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About GRANT T KIRK DDS LLC

This page provides the complete NPI Profile along with additional information for Grant T Kirk Dds Llc, a provider established in Joplin, Missouri operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1851916969 assigned on June 2020. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Cindy Sooter Faadom (Office Manager)

NPI
1851916969 Verify this NPI
Provider Name
GRANT T KIRK DDS LLC
Entity Type
Organization
Location Address
4402 E 32ND ST STE B JOPLIN, MO 64804
Location Phone
(417) 781-2900
Mailing Address
4402 E 32ND ST STE B JOPLIN, MO 64804
Mailing Phone
(417) 781-2900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2020
Last Update Date
06-15-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CINDY SOOTER FAADOM

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(417) 781-2900

Reviews for GRANT T KIRK DDS LLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

FITTERLING DENTISTRY, LLC
Dentist (General Practice)
4402 E 32ND ST STE B
JOPLIN, MO 64804
Newton County (417) 781-2900
DR. GRANT KIRK DDS
Dentist (General Practice)
4402 E 32ND ST STE B
JOPLIN, MO 64804
Newton County (417) 781-2900

Frequently Asked Questions

What is GRANT T KIRK DDS LLC's NPI number?

The NPI number assigned to this healthcare provider is 1851916969, enumerated as an "organization" on June 15, 2020.

Where is the provider located?

The provider is located at 4402 E 32ND ST STE B JOPLIN, MO 64804 and the phone number is (417) 781-2900.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.