DR. MICHELLE L DEARINGER (NPI# 1639143704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639143704 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE L DEARINGER |
| Other Name | DR. MICHELLE L DAVIS |
| Credential | D.D.S. |
| Practice Address |
723 W Mount Vernon St Nixa MO 65714-9663 |
| Mailing Address |
708 W Mount Vernon St Nixa MO 65714-9682 |
| Practice Telephone | 4177253665 |
| Practice Fax Number | 4177241987 |
| Mailing Telephone | 4174945017 |
| Mailing Fax Number | 4174945019 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2015-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
016130 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | STATE DRUG LICENSE | 1100329 | 01 |
| Street Address |
723 W MOUNT VERNON ST |
| City | NIXA |
| State | MO |
| Zip Code | 65714-9663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376517615 | Christopher A Davis | Dentist | 723 W Mount Vernon St, Nixa, Nixa, MO 65714-9663 | 2006-02-14 |
| 1396184842 | Jacob Paul Mclauchlin | Dentist | 723 W Mount Vernon St, Nixa, MO 65714-9663 | 2013-06-18 |
| 1861466120 | Davis Dental Associates, D.d.s., P.C. | Dentist | 723 W Mount Vernon St, Nixa, MO 65714-9663 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895440 | Lester E Cox Medical Centers | Clinic/Center | 501 N Old Wilderness Road, Nixa, MO 65714 | 2020-09-10 |
| 1568941144 | Smith Management Services, LLC | Durable Medical Equipment & Medical Supplies | 105 S Ridgecrest Ave Ste 2, Nixa, MO 65714 | 2018-08-14 |
| 1942706692 | Phillip Marshal Guison | Chiropractor | 696 W Mount Vernon St, Nixa, MO 65714 | 2018-04-02 |
| 1831561554 | Gray Psychological Services LLC | Psychologist | 402 B W. Mt. Vernon Street, Ste 337, Nixa, MO 65714 | 2015-10-21 |
| 1053787317 | Nicole Blanchard | Speech-Language Pathologist | 1801 Quail Ln, Nixa, MO 65714 | 2015-08-20 |
| 1629410766 | Danielle Ranae Lee | Nurse Practitioner | 940 W Mount Vernon St Ste 210, Nixa, MO 65714 | 2013-07-17 |
| 1205197373 | Kelly Dove Dove | Dentist | 725 W Mt. Vernon St., Nixa, MO 65714 | 2012-06-05 |
| 1831473818 | Amy Susan Wells | Pharmacist | 106 N Massey, Nixa, MO 65714 | 2011-10-07 |
| 1013207612 | Ashley E Pritchett | Counselor | 402b Mt Vernon, #122, Nixa, MO 65714 | 2011-04-15 |
| 1760632400 | Jennifer Lynn Maloney | Counselor | 611a W. Mount Vernon Street, Nixa, MO 65714 | 2008-09-30 |
| Find all providers in zip 65714 | ||||
| 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 |
|---|---|---|---|---|
| 1205197373 | Kelly Dove Dove | Dentist | 725 W Mt. Vernon St., Nixa, MO 65714 | 2012-06-05 |
| 1144348814 | Houston Corbin Ker | Dentist | 1881 N. Cc Hwy, Nixa, MO 65714-8015 | 2007-03-27 |
| 1154454502 | Michael K Butterfield | Dentist | 106 State St., Nixa, MO 65714 | 2007-03-14 |
| 1023147295 | Scott Christian Larsen | Dentist | 240 Village Center St, Nixa, MO 65714-8869 | 2007-03-05 |
| 1952463838 | Joseph Richard Kofron | Dentist | 600 Mccroskey St, Nixa, MO 65714 | 2006-12-15 |
| 1831207711 | Anthony Kyuhyun Lee | Dentist | 708 W Mount Vernon St, Nixa, MO 65714 | 2006-08-29 |
| 1376517615 | Christopher A Davis | Dentist | 723 W Mount Vernon St, Nixa, Nixa, MO 65714-9663 | 2006-02-14 |
| 1356817340 | Smile Up Dental LLC | Dentist | 708 W Mount Vernon St, Nixa, MO 65714-9682 | 2018-10-17 |
| 1396184842 | Jacob Paul Mclauchlin | Dentist | 723 W Mount Vernon St, Nixa, MO 65714-9663 | 2013-06-18 |
| 1972859882 | Capstone Family Dentistry | Dentist | 729 W Center Cir, Suite 104, Nixa, MO 65714-7001 | 2012-07-29 |
| Find all providers in NIXA | ||||
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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.