Organization · Type 2 NPI
Northside Family Dentistry, LLC
Dental Clinic/Center · Joplin, MO
NPI number
1649136003
Active
Practice location
5898 N Main St Ste 109
Joplin, MO 64801-9103
Fax (417) 208-9843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1649136003
Northside Family Dentistry, LLC's National Provider Identifier is 1649136003, issued on Dec 30, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Joplin, MO. The record was last updated on Dec 30, 2025.