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CROSS TRAILS MEDICAL CENTER
NPI 1972925444
Dentist - General Practice in Perryville, MO

Active since January 17, 2014
1314 BRENDA AVE, PERRYVILLE, MO 63775(573) 332-0808(573) 339-7945 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cross Trails Medical Center NPPES

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

CROSS TRAILS MEDICAL CENTER (NPI 1972925444) is a healthcare organization registered as a general practice in Perryville, Missouri and active in the NPI registry since January 2014. The organization lists Mona Wells, Cfo, as its authorized official.

NPPES Registry Identity

NPI1972925444
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCROSS TRAILS MEDICAL CENTER
Location Address1314 BRENDA AVEPerryville, MO 63775-2624
Mailing Address1314 Brenda AvePerryville, MO 63775-2624
Phone(573) 332-0808
Fax(573) 339-7945
Organization SubpartNo
Authorized OfficialMona WellsCfo · (573) 339-1196
Enumeration DateJanuary 17, 2014
✔ NPI 1972925444 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.
1314 BRENDA AVE, Perryville, MO 63775
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest Insurance Company-MO.Insurance ›

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.

DIANE KO D.M.D.
Dentist
1314 BRENDA AVE
PERRYVILLE, MO 63775
Perry County (573) 517-0405
CROSS TRAILS MEDICAL CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
1314 BRENDA AVE
PERRYVILLE, MO 63775
Perry County (573) 332-0808
JULIA L ABERNATHY RDH
Dental Hygienist
1314 BRENDA AVE
PERRYVILLE, MO 63775
Perry County (573) 517-0405
ANGELA KAY WRIGHT APRN, FNP-BC
Nurse Practitioner (Family)
1314 BRENDA AVE
PERRYVILLE, MO 63775
Perry County (573) 517-0405

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 Cross Trails Medical Center's NPI number?

The NPI number for Cross Trails Medical Center is 1972925444. It was assigned to this organization in the NPPES registry on January 17, 2014.

Where is Cross Trails Medical Center located?

Cross Trails Medical Center is located at 1314 Brenda Ave, Perryville, MO 63775. The listed phone number is (573) 332-0808.

What is Cross Trails Medical Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Cross Trails Medical Center accept?

Health plans from DentaQuest Insurance Company-MO list Cross Trails Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cross Trails Medical Center was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.