HANNIBAL DENTAL GROUP NPI 1699745935

NPI Information

  • NPI: 1699745935
  • Provider Name: HANNIBAL DENTAL GROUP
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 2727 SAINT MARYS AVE
    HANNIBAL, MO
    ZIP 63401
  • Phone: (573) 221-1227

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NPI Details

HANNIBAL DENTAL GROUP is a general practice dentist in Hannibal, MO. The provider is 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. HANNIBAL DENTAL GROUP NPI is 1699745935. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2727 SAINT MARYS AVE
HANNIBAL, MO
ZIP 63401-774
Phone: (573) 221-1227
Fax: (573) 221-5564

The provider's authorized official is Vicki L Luebrecht .
The authorized official title is Office Manager and has the following contact phone number (573) 221-1227.

The enumeration date for this NPI number is 1/26/2006 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
11223G0001XDentistGeneral Practice9881MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M00100OTHERMISSOURIINSURANCE
2409534OTHERMISSOURIINSURANCE
3409535OTHERMISSOURIINSURANCE
474014433OTHERMISSOURIINSURANCE
5818028OTHERMISSOURIINSURANCE
6501160OTHERMISSOURIINSURANCE
7501174OTHERMISSOURIINSURANCE
8501065OTHERMISSOURIINSURANCE
974017142OTHERMISSOURIINSURANCE
1074007199OTHERMISSOURIINSURANCE
1174014632OTHERMISSOURIINSURANCE

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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