NORTHSIDE DENTAL CLINIC
NPI 1922401793
Clinic/Center - Dental in Springfield, MO
About Northside Dental Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHSIDE DENTAL CLINIC (NPI 1922401793) is a healthcare organization registered as a dental in Springfield, Missouri and active in the NPI registry since October 2014. The organization lists Derek Kaelin, Dds, Owner/dentist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, MO 65803
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 Northside Dental L.L.C.'s NPI number?
The NPI number for Northside Dental L.L.C. is 1922401793. It was assigned to this organization in the NPPES registry on October 7, 2014. The provider is doing business as Northside Dental Clinic.
Where is Northside Dental L.L.C. located?
Northside Dental L.L.C. is located at 2105 W Kearney St Suite A, Springfield, MO 65803. The listed phone number is (417) 862-2468.
What is Northside Dental L.L.C.'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 Northside Dental L.L.C. was last updated on October 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.