1. Home
  2. Directory
  3. Missouri
  4. Columbia
  5. Dentist
  6. NPI Profile

SERENITY SMILES FAMILY DENTISTRY, LLC
NPI 1891133583
Dentist - General Practice in Columbia, MO

Active since June 05, 2013
2401 BERNADETTE DR, STE 217, COLUMBIA, MO 65203(573) 445-1100 Get Directions Write a Review

NPPES record last updated: June 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Serenity Smiles Family Dentistry, Llc NPPES

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

SERENITY SMILES FAMILY DENTISTRY, LLC (NPI 1891133583) is a healthcare organization registered as a general practice in Columbia, Missouri and active in the NPI registry since June 2013. The organization lists Dana Derdeuff, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1891133583
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSERENITY SMILES FAMILY DENTISTRY, LLC
Location Address2401 BERNADETTE DR, STE 217Columbia, MO 65203-4672
Mailing Address1700 Skylane DrColumbia, MO 65202-1709 · (573) 445-1100
Phone(573) 445-1100
Organization SubpartNo
Authorized OfficialDana DerdeuffOwner/dentist · (573) 356-4029
Enumeration DateJune 5, 2013
✔ NPI 1891133583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2012015356
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.
2401 BERNADETTE DR, Columbia, MO 65203
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 5

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

DR. CHARLES CURTIS HATLEY JR. DDS
Dentist
2401 BERNADETTE DR, STE 217
COLUMBIA, MO 65203
Boone County (573) 445-6585
DANA LEE BEAINI DDS
Dentist (General Practice)
2401 BERNADETTE DR, SUITE 217
COLUMBIA, MO 65203
Boone County (573) 445-9405
MRS. JANET NELSON WALDEN P.T.
Physical Therapist
2401 BERNADETTE DR, STE 202
COLUMBIA, MO 65203
Boone County (573) 818-3474
COLUMBIA BALANCE & DIZZINESS CENTER LLC
Clinic/Center (Physical Therapy)
2401 BERNADETTE DR, STE 202
COLUMBIA, MO 65203
Boone County (573) 818-3474
MATCHSTICK LLC
Dentist (General Practice)
2401 BERNADETTE DR, SUITE 217
COLUMBIA, MO 65203
Boone County (573) 445-1100

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 Serenity Smiles Family Dentistry, LLC's NPI number?

The NPI number for Serenity Smiles Family Dentistry, LLC is 1891133583. It was assigned to this organization in the NPPES registry on June 5, 2013.

Where is Serenity Smiles Family Dentistry, LLC located?

Serenity Smiles Family Dentistry, LLC is located at 2401 Bernadette Dr Ste 217, Columbia, MO 65203. The listed phone number is (573) 445-1100.

What is Serenity Smiles Family 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 Serenity Smiles Family Dentistry, LLC was last updated on June 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.