Northeast Missouri Dental Clinic – Federally Qualified Health Center (FQHC), NPI 1972649986

Northeast Missouri Dental Clinic is a healthcare provider. based in Kirksville, Missouri. specializing in Federally Qualified Health Center (FQHC). The organization holds a License No. 2001012903 (MO). The NPI Number for Northeast Missouri Dental Clinic is 1972649986

Main info

Organization
Name
Northeast Missouri Dental Clinic
NPI
1972649986
Phone
(660) 627-5757
Address
1416 CROWN DR
Authorized Official
ANDREW H. GRIMM EXECUTIVE DIRECTOR
Enumeration Date
29 January 2007
Last Update Date
12 October 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness80
Years active:19State licenses:3Digital endpointsUpdated within 12 months

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Provider Addresses for Northeast Missouri Dental Clinic

  • 1416, Crown Drive, Kingsridge, Kirksville, Adair County, Missouri, 63501, United States

    P O BOX 1027

    KIRKSVILLE, MO 635012548

    Phone: (660) 627-5757

    Fax: (660) 627-5802

    Type: Mailing

  • 402, West Jefferson Street, Kirksville, Adair County, Missouri, 63501, United States

    KIRKSVILLE, MO 635013407

    Phone: (660) 665-2741

    Fax: (660) 665-3109

    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

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 63501)

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Reviews

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Frequently asked questions

Is Northeast Missouri Dental Clinic listed with a National Provider Identifier?
Yes — Northeast Missouri Dental Clinic has NPI 1972649986 on file in the registry.
Is Northeast Missouri Dental Clinic still an active registrant?
Northeast Missouri Dental Clinic carries an active NPI according to the public dataset.
What clinical focus is listed for Northeast Missouri Dental Clinic?
At a glance, Northeast Missouri Dental Clinic is tied to Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
What locale is associated with Northeast Missouri Dental Clinic?
Directory geography for Northeast Missouri Dental Clinic centers on Kirksville, Missouri.
When was this NPI issued?
Enumeration for Northeast Missouri Dental Clinic is noted as January 29, 2007 where the registry provides it.

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