Mid Missouri Dental Center – Pediatric Dentistry, NPI 1164622395

Mid Missouri Dental Center is a healthcare provider. based in Columbia, Missouri. specializing in Pediatric Dentistry. The organization holds a License No. 010435 (MO). The NPI Number for Mid Missouri Dental Center is 1164622395

Main info

Organization
Name
Mid Missouri Dental Center
NPI
1164622395
Phone
(573) 814-1694
Address
1500 VANDIVER DR
Authorized Official
MRS. KERRI L SMITH OFFICE MANAGER
Enumeration Date
25 July 2007
Last Update Date
25 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness80
Years active:18State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Mid Missouri Dental Center

  • 1500, Vandiver Drive, Columbia, Boone County, Missouri, 65202, United States

    SUITE 104

    COLUMBIA, MO 652023932

    Phone: (573) 814-1694

    Fax: (573) 814-2845

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65202)

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Reviews

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Frequently asked questions

What federal number belongs to Mid Missouri Dental Center?
The federal identifier for Mid Missouri Dental Center is NPI 1164622395.
Does this profile mean Mid Missouri Dental Center is currently active?
Yes — Mid Missouri Dental Center appears active in the national provider directory.
What does Mid Missouri Dental Center treat or focus on?
Patients typically see Mid Missouri Dental Center under the specialty Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
Where does public data place Mid Missouri Dental Center?
The snapshot lists Columbia, Missouri for Mid Missouri Dental Center; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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