DEERE DENTISTRY
NPI 1912314378
Clinic/Center - Dental in Portageville, MO

Active since July 17, 2014
205 E 4TH ST, PORTAGEVILLE, MO 63873(573) 379-5407(573) 379-5407 Get Directions Write a Review

NPPES record last updated: July 17, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Dental

About DEERE DENTISTRY

This page provides the complete NPI Profile along with additional information for Deere Dentistry, a provider established in Portageville, Missouri operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1912314378 assigned on July 2014. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Sheilah K Deere (Owner/office Manager)

NPI
1912314378 Verify this NPI
Provider Name
DEERE DENTISTRY
Entity Type
Organization
Location Address
205 E 4TH ST PORTAGEVILLE, MO 63873
Location Phone
(573) 379-5407
Location Fax
(573) 379-5407
Mailing Address
205 E 4TH ST PORTAGEVILLE, MO 63873
Mailing Phone
(573) 379-5407
Mailing Fax
(573) 379-5407
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2014
Last Update Date
07-17-2014
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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

SHEILAH K DEERE

Authorized Official Title
OWNER/OFFICE MANAGER
Authorized Official Phone
(573) 379-5407

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912314378, enumerated as an "organization" on July 17, 2014.

The provider is located at 205 E 4TH ST PORTAGEVILLE, MO 63873 and the phone number is (573) 379-5407.

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