THE TOOTH TRUCK INC. DBA RONALD MCDONALD CARE MOBILE OF THE OZARKS (NPI# 1083836381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083836381 |
| Entity Type | Organization |
| Organization Name | THE TOOTH TRUCK INC. DBA RONALD MCDONALD CARE MOBILE OF THE OZARKS |
| Other Organization Name | TOOTH TRUCK |
| Practice Address |
949 E. Primrose Springfield MO 65807 |
| Practice Telephone | 4178753504 |
| Mailing Telephone | 4178753504 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BONNIE KELLER (PRESIDENT CEO) |
| Authorized Official Telephone | 4178753503 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
MO | Dental Providers |
| Other Name | Type Code |
|---|---|
| Tooth Truck | Doing Business As Name - Organization |
| Street Address |
949 E. PRIMROSE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861709024 | State of Tennessee | Dentist | 806 South Brown Street, Springfield, TN 37172 | 2010-09-09 |
| 1659801413 | Whitney Dawn Bair | Dentist | 440 E Tampa St, Springfield, MO 65806-1131 | 2017-06-14 |
| 1932580719 | Abu Baker Obaid Mahmood | Dentist | 1049 Main St., Springfield, MA 01103 | 2015-06-17 |
| 1205099645 | Dahlia T Michael | Dentist | 440 E Tampa St, Springfield, MO 65806-1131 | 2008-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811348014 | Lea Rich | Dentist | 811a South Business 13 Hwy, Lexington, MO 64067 | 2016-06-29 |
| 1790164762 | Ozark Tri-county Health Care Consortium | Dentist | 3201 S Arrowhead Dr, Independence, MO 64057-1196 | 2015-05-23 |
| 1255626826 | Heartland Outreach Providers, Inc. | Dentist | 18921 E Valley View Pkwy Ste G, Suite 215, Independence, MO 64055-7024 | 2011-06-12 |
| 1487829644 | Phelps County Regional Medical Center | Dentist | 1202 Homelife Drive, Rolla, MO 65401 | 2008-04-28 |
| 1104010255 | Michael Bruce Hogan | Dentist | 108 Cecil St Ste G, Camdenton, MO 65020-7066 | 2007-08-31 |
| 1548469398 | Samantha Jean Sutton | Dentist | 508 W. 76 Hwy, Anderson, MO 64831 | 2007-07-12 |
| 1447384417 | Chyrelle Louann Blount | Dentist | 15479 Us Highway 160, Forsyth, MO 65653 | 2007-03-14 |
| 1386774412 | Area Community Health Emissaries, Inc. | Dentist | 508 W 76 Hwy, Anderson, MO 64831 | 2007-03-07 |
| 1336279470 | Avoyn Forga | Dentist | 508 West 76 Hwy., Anderson, MO 64831 | 2007-03-07 |
| 1073663928 | Robert Steven Best | Dentist | 626 Clinic Rd, Hannibal, MO 63401-3608 | 2007-01-11 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.