Odessa Pediatric Dental Care

Specialty details in registry · Odessa, MO

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At a glance

406 N 4Th St Ste A, Odessa, MO 64076-1680

NPPES record updated Jan 29, 2024. Public records can lag behind changes at a practice.

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Practice location

406 N 4Th St Ste A
Odessa, MO 64076-1680

Professional details: NPI, taxonomy & registry record

NPI1356103808

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 1223P0221X
Enumeration date: Jan 29, 2024
Record updated: Jan 29, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223P0221X · Primary

Specialty details in registry

261QD0000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

406 N 4Th St Ste A
Odessa, MO 64076-1680

Phone: (816) 000-0000

Mailing address

406 N 4TH ST STE A

ODESSA, MO 640761680

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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