DEXTER HOSPITAL LLC NPI 1073656153

NPI Information

  • NPI: 1073656153
  • Provider Name: DEXTER HOSPITAL LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: DEXTER CHILDRENS CLINIC
  • Address: 1300 N ONE MILE RD
    SUITE 2
    DEXTER, MO
    ZIP 63841
  • Phone: (573) 624-6442

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NPI Details

DEXTER HOSPITAL LLC is a pediatrics in Dexter, MO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DEXTER HOSPITAL LLC NPI is 1073656153. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dexter Childrens Clinic.

The provider's business location address is:

1300 N ONE MILE RD
SUITE 2
DEXTER, MO
ZIP 63841-042
Phone: (573) 624-6442

The provider's authorized official is Sue Williams .
The authorized official title is Clinic Administrator and has the following contact phone number (573) 624-1640.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsMISSOURIYes

What is NPI?

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This page was last updated on: 11/21/2025

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