GREATER SPRINGFIELD ENDODONTICS NPI 1306173612

NPI Information

  • NPI: 1306173612
  • Provider Name: GREATER SPRINGFIELD ENDODONTICS
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 2808 S INGRAM MILL RD
    BUILDING C108
    SPRINGFIELD, MO
    ZIP 65804
  • Phone: (417) 883-7668

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NPI Details

GREATER SPRINGFIELD ENDODONTICS is a dental clinic center in Springfield, MO. GREATER SPRINGFIELD ENDODONTICS NPI is 1306173612. The provider is registered as an organization entity type.

The provider's business location address is:

2808 S INGRAM MILL RD
BUILDING C108
SPRINGFIELD, MO
ZIP 65804-079
Phone: (417) 883-7668
Fax: (417) 883-8525

The provider's authorized official is Mark Allen Massey .
The authorized official title is Endodontist and has the following contact phone number (417) 883-7668.

The enumeration date for this NPI number is 11/6/2009 and was last updated on 11/6/2009.

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
1261QD0000XClinic/CenterDentalYes

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

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