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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MINT DENTAL STATE LINE
NPI 1932006558
Dentist - General Practice in Kansas City, MO

Active since October 26, 2026
12927 STATE LINE RD, KANSAS CITY, MO 64145(913) 276-3809 Get Directions Write a Review

NPPES record added: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mint Dental State Line NPPES

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

MINT DENTAL STATE LINE (NPI 1932006558) is a healthcare organization registered as a general practice in Kansas City, Missouri and active in the NPI registry since October 2026. The organization lists Wayne Dobbins, Owner, as its authorized official.

NPPES Registry Identity

NPI1932006558
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMINT DENTAL STATE LINE
Location Address12927 STATE LINE RDKansas City, MO 64145-1238
Mailing Address12927 State Line RdKansas City, MO 64145-1238
Phone(913) 276-3809
Organization SubpartNo
Authorized OfficialWayne DobbinsOwner · (913) 276-3809
Enumeration DateOctober 26, 2026
NPPES CertifiedOctober 26, 2026
✔ NPI 1932006558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
12927 STATE LINE RD, Kansas City, MO 64145
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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 2

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

DIANA TABAKH DDS
Dentist (General Practice)
12927 STATE LINE RD
KANSAS CITY, MO 64145
Jackson County (816) 942-7669
COMFORT DENTAL CARE, LLC
Clinic/Center (Dental)
12927 STATE LINE RD
KANSAS CITY, MO 64145
Jackson County (816) 942-7669

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 Mint Dental State Line's NPI number?

The NPI number for Mint Dental State Line is 1932006558. It was assigned to this organization in the NPPES registry on October 26, 2026.

Where is Mint Dental State Line located?

Mint Dental State Line is located at 12927 State Line Rd, Kansas City, MO 64145. The listed phone number is (913) 276-3809.

What is Mint Dental State Line'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 Mint Dental State Line was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.