COLUMBIA DENTISTRY FOR CHILDREN NPI 1700151768

NPI Information

  • NPI: 1700151768
  • Provider Name: COLUMBIA DENTISTRY FOR CHILDREN
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 1000 W NIFONG BLVD STE 6-130
    COLUMBIA, MO
    ZIP 65203
  • Phone: (573) 874-1990

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NPI Details

COLUMBIA DENTISTRY FOR CHILDREN is a pediatric dentistry dentist in Columbia, 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. COLUMBIA DENTISTRY FOR CHILDREN NPI is 1700151768. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 W NIFONG BLVD STE 6-130
COLUMBIA, MO
ZIP 65203-607
Phone: (573) 874-1990
Fax: (573) 874-1923

The provider's authorized official is Robert Coyle .
The authorized official title is Owner and has the following contact phone number (573) 874-1990.

The enumeration date for this NPI number is 3/9/2012 and was last updated on 3/9/2012.

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 DentistryLC1018573MISSOURIYes

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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