WEST EDGEWOOD DENTAL SMALL SMILES, LLC
NPI 1982827465
Dentist - General Practice in Jefferson City, MO

Q: What is West Edgewood Dental Small Smiles, LLC's specialty?

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

Active since April 11, 2007

3306 EMERALD LN, JEFFERSON CITY, MO 65109(573) 638-3897(573) 761-0515 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About West Edgewood Dental Small Smiles, Llc NPPES

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

WEST EDGEWOOD DENTAL SMALL SMILES, LLC (NPI 1982827465) is a healthcare organization registered as a general practice in Jefferson City, Missouri and active in the NPI registry since April 2007. The organization lists Randy Burrow, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1982827465

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameWEST EDGEWOOD DENTAL SMALL SMILES, LLC

Location Address3306 EMERALD LNJefferson City, MO 65109-6877

Mailing Address3306 Emerald LnJefferson City, MO 65109-6877 · (573) 638-3897 · Fax (573) 761-0515

Phone(573) 638-3897

Fax(573) 761-0515

Organization SubpartNo

Authorized OfficialRandy BurrowOperations Manager · (573) 638-3897

Enumeration DateApril 11, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1982827465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 12095

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.

3306 EMERALD LN, Jefferson City, MO 65109

Open in Google Maps ↗

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 11

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

PROGRESSIVE ORTHODONTICS LLC

Dentist (Orthodontics and Dentofacial Orthopedics)