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FANNIN KAELIN ROPKA SCOTT & SPONENBERG DDS PC NPI 1821076811


NPI Information

NPI: 1821076811
Provider Name: FANNIN, KAELIN, ROPKA, SCOTT & SPONENBERG DDS PC

Doing Business As: PARKCREST DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
540 W LASALLE ST
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 887-1220
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FANNIN, KAELIN, ROPKA, SCOTT & SPONENBERG DDS PC is a general practice dentist in Springfield, 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. FANNIN, KAELIN, ROPKA, SCOTT & SPONENBERG DDS PC NPI is 1821076811. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Parkcrest Dental Group.

The provider's business location address is:

540 W LASALLE ST
SPRINGFIELD, MO
ZIP 65807-712
Phone: (417) 887-1220
Fax: (417) 887-0357

The provider's authorized official is Daniel S. Fannin .
The authorized official title is Vice President and has the following contact phone number (417) 887-1220.

The enumeration date for this NPI number is 1/9/2006 and was last updated on 10/14/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

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: 4/28/2024

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