BOOTHEEL DENTAL CLINIC – Federally Qualified Health Center (FQHC), NPI 1457570681

BOOTHEEL DENTAL CLINIC is a healthcare provider. based in New madrid, Missouri. specializing in Federally Qualified Health Center (FQHC). The NPI Number for BOOTHEEL DENTAL CLINIC is 1457570681

Main info

Organization
Name
BOOTHEEL DENTAL CLINIC
NPI
1457570681
Phone
(573) 748-2404
Address
420 SEMO DR
Authorized Official
CHRISTOPHER JONES CHIEF EXECUTIVE OFFICER
Enumeration Date
25 April 2007
Last Update Date
22 July 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for BOOTHEEL DENTAL CLINIC

  • 420 SEMO DR

    P.O. BOX 400

    NEW MADRID, MO 638691734

    Phone: (573) 748-2404

    Fax: (573) 748-8929

    Type: Mailing

  • 202B MAIN ST

    NEW MADRID, MO 638691911

    Phone: (573) 748-5671

    Fax: (573) 748-5317

    Type: Location

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.

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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.

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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 63869)

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Reviews

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Frequently asked questions

Does BOOTHEEL DENTAL CLINIC have a public NPI I can cite?
Public records show BOOTHEEL DENTAL CLINIC under NPI 1457570681.
Is BOOTHEEL DENTAL CLINIC's NPI status active today?
Active status means BOOTHEEL DENTAL CLINIC's NPI record is not deactivated in the public file.
What does the directory say BOOTHEEL DENTAL CLINIC does?
Insurance directories may phrase it differently, but here BOOTHEEL DENTAL CLINIC maps to Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Which community is linked to BOOTHEEL DENTAL CLINIC?
BOOTHEEL DENTAL CLINIC shows a connection to New Madrid, Missouri in registry-derived data.
Why is information missing for BOOTHEEL DENTAL CLINIC?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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