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SPOT 1 LLC NPI 1457741381


NPI Information

NPI: 1457741381
Provider Name: SPOT 1, LLC

Doing Business As: THE SMILE SPOT

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1324 E MONTCLAIR ST
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 886-9939
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SPOT 1, LLC is a pediatric dentistry dentist in Springfield, MO. The provider is 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. SPOT 1, LLC NPI is 1457741381. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Smile Spot.

The provider's business location address is:

1324 E MONTCLAIR ST
SPRINGFIELD, MO
ZIP 65804-245
Phone: (417) 886-9939

The provider's authorized official is Shayna Bahr .
The authorized official title is Manager and has the following contact phone number (303) 524-4501.

The enumeration date for this NPI number is 1/30/2015 and was last updated on 1/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeMISSOURINo
21223P0221XDentistPediatric DentistryMISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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