SWEET TOOTH SUMMIT NPI 1124826656

NPI Information

  • NPI: 1124826656
  • Provider Name: SWEET TOOTH SUMMIT
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 512 SE 291 HWY
    LEES SUMMIT, MO
    ZIP 64063
  • Phone: (913) 276-3809

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NPI Details

SWEET TOOTH SUMMIT is a pediatric dentistry dentist in Lees Summit, 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. SWEET TOOTH SUMMIT NPI is 1124826656. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

512 SE 291 HWY
LEES SUMMIT, MO
ZIP 64063-302
Phone: (913) 276-3809

The provider's authorized official is Wayne Dobbins .
The authorized official title is Owner and has the following contact phone number (913) 276-3809.

The enumeration date for this NPI number is 3/3/2025 and was last updated on 3/3/2025.

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
11223P0221XDentistPediatric DentistryYes

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: 11/21/2025

NPI Synchronization or Removal

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