ACCESS DENTAL SERVICES LP (NPI# 1215241005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215241005 |
| Entity Type | Organization |
| Organization Name | ACCESS DENTAL SERVICES LP |
| Other Organization Name | ACCESS DENTAL & DENTURES |
| Practice Address |
416 S Bishop Ave Rolla MO 65401 |
| Mailing Address |
Po Box 2933 Springfield MO 65801-2933 |
| Practice Telephone | 5734265447 |
| Practice Fax Number | 5734265659 |
| Mailing Telephone | 5734265447 |
| Mailing Fax Number | 5734265659 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2020-04-01 |
| Authorized Official Name | KARI HICKS (SR ADMINISTRATOR) |
| Authorized Official Telephone | 4175011048 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2006012741 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 100617150314027 | 05 |
| Other Name | Type Code |
|---|---|
| Access Dental & Dentures | Doing Business As Name - Organization |
| Rolla Dental Clinic | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821386459 | Access Dental Services Lp | Dentist | 4320 Osage Beach Pkwy, Osage Beach, MO 65065-2142 | 2011-07-18 |
| 1427356989 | Access Dental Services Lp | Dentist | 1701 W Sunshine, Suite Q, Springfield, MO 65807-2261 | 2011-03-08 |
| 1649589706 | Access Dental Services Lp | Dentist | 1701 W Sunshine St Ste Q, Springfield, MO 65807-2261 | 2010-10-06 |
| 1376088369 | Access Dental Services Lp | Dentist | 921 N Main St, Mountain Grove, MO 65711-1316 | 2016-12-29 |
| Street Address |
416 S BISHOP AVE |
| City | ROLLA |
| State | MO |
| Zip Code | 65401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366644320 | Dawn Renee Tope | Nurse Practitioner | 416 S Bishop Ave, Rolla, MO 65401-4311 | 2007-06-01 |
| 1194957779 | Melissa Selene Olvera | Dentist | 416 S Bishop Ave, Rolla, MO 65401-4311 | 2009-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235658238 | Jyothsna Meda | Dentist | 1050 W 10th St Ste 520, Rolla, MO 65401-2905 | 2017-09-12 |
| 1154725745 | Rolla Family Dentistry Inc | Dentist | 1701 E 10th St, Rolla, MO 65401-4601 | 2014-10-10 |
| 1336348457 | Brian Haller | Dentist | 602 W 6th St, Rolla, MO 65401-2941 | 2007-07-18 |
| 1336268515 | Turner Dental Office PC | Dentist | 4 3rd St. Ne, Box 99, Rolla, ND 58367-0099 | 2007-03-28 |
| 1912026105 | Kenard Allen Turner II | Dentist | 4 3rd St. N.e., Rolla, ND 58367-0099 | 2007-03-28 |
| 1609995976 | William Warren Turner | Dentist | 4 3rd Street Ne, Rolla, ND 58367-0099 | 2007-03-28 |
| 1306924097 | Calvin Mott | Dentist | 610 N Olive St, Rolla, MO 65401-3352 | 2006-11-01 |
| 1649769860 | Stephen Vance Moorkamp | Dentist | 912 N Cedar St, Rolla, MO 65401-3350 | 2018-05-02 |
| 1174928857 | Arezo Hesaraki | Dentist | 1050 W 10th St, Ste 480, Rolla, MO 65401-2905 | 2014-10-23 |
| 1942452545 | Brian Haller Dmd LLC | Dentist | 602 W 6th St, Rolla, MO 65401-2941 | 2008-10-15 |
| Find all providers in ROLLA | ||||
Please comment or provide details below to improve the information on ACCESS DENTAL SERVICES LP.
| 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.