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SMILE CLUBHOUSE
NPI 1952027591
Dentist - Pediatric Dentistry in Springfield, MO

Active since October 14, 2022
2910 E BATTLEFIELD ST, SPRINGFIELD, MO 65804(417) 444-6776 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Smile Clubhouse NPPES

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

SMILE CLUBHOUSE (NPI 1952027591) is a healthcare organization registered as a pediatric dentistry in Springfield, Missouri and active in the NPI registry since October 2022. The organization lists Trent Duane Madsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1952027591
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSMILE CLUBHOUSE
Location Address2910 E BATTLEFIELD STSpringfield, MO 65804-4016
Mailing Address2910 E Battlefield StSpringfield, MO 65804-4016 · (417) 444-6776
Phone(417) 444-6776
Organization SubpartNo
Authorized OfficialTrent Duane MadsenOwner · (480) 789-9554
Enumeration DateOctober 14, 2022
NPPES CertifiedOctober 14, 2022
✔ NPI 1952027591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2910 E BATTLEFIELD ST, Springfield, MO 65804
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Other Identifiers 1

Medicaid400111093MO

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 4

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

DR. STEPHEN G DOVE D.D.S.
Dentist
2910 E BATTLEFIELD ST
SPRINGFIELD, MO 65804
Greene County (417) 866-7647
DOVE DENTAL GROUP, LLC
Dentist
2910 E BATTLEFIELD ST
SPRINGFIELD, MO 65804
Greene County (417) 866-7647
TRENT DUANE MADSEN DMD
Dentist (Pediatric Dentistry)
2910 E BATTLEFIELD ST
SPRINGFIELD, MO 65804
Greene County (417) 444-6776
DR. JOHN D GRAF DDS
Dentist (General Practice)
2910 E BATTLEFIELD ST
SPRINGFIELD, MO 65804
Greene County (417) 866-7647

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 Smile Clubhouse's NPI number?

The NPI number for Smile Clubhouse is 1952027591. It was assigned to this organization in the NPPES registry on October 14, 2022.

Where is Smile Clubhouse located?

Smile Clubhouse is located at 2910 E Battlefield St, Springfield, MO 65804. The listed phone number is (417) 444-6776.

What is Smile Clubhouse's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Smile Clubhouse was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.