FREE STATE DENTAL
NPI 1912778804
Clinic/Center - Dental in De Soto, KS

Q: What is Free State Dental's NPI number?

The NPI number for Free State Dental is 1912778804. It was assigned to this organization in the NPPES registry on January 10, 2024. The provider is doing business as Free State Dental of De Soto.

Q: What is Free State Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Q: When was this NPI record last updated?

The NPPES record for Free State Dental was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 10, 2024

33391 LEXINGTON AVENUE, SUITE C, DE SOTO, KS 66018(785) 843-2636 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Free State Dental NPPES

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

FREE STATE DENTAL (NPI 1912778804), doing business as Free State Dental Of De Soto, is a healthcare organization registered as a dental in De Soto, Kansas and active in the NPI registry since January 2024. The organization lists Bradley Aaron Adams, Partner, as its authorized official.

NPPES Registry Identity

NPI1912778804

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameFREE STATE DENTAL

Location Address33391 LEXINGTON AVENUE, SUITE CDe Soto, KS 66018

Mailing Address4111 W 6th StLawrence, KS 66049-4609 · (785) 843-2636

Phone(785) 843-2636

Organization SubpartNo

Authorized OfficialBradley Aaron AdamsPartner · (785) 843-2636

Enumeration DateJanuary 10, 2024

NPPES CertifiedJanuary 8, 2024

✔ NPI 1912778804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

33391 LEXINGTON AVENUE, De Soto, KS 66018

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Other Names 1

Doing Business AsFree State Dental Of De Soto

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 Free State Dental's NPI number?

The NPI number for Free State Dental is 1912778804. It was assigned to this organization in the NPPES registry on January 10, 2024. The provider is doing business as Free State Dental of De Soto.

Where is Free State Dental located?

Free State Dental is located at 33391 Lexington Avenue Suite C, De Soto, KS 66018. The listed phone number is (785) 843-2636.

What is Free State Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Free State Dental was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.