Individual provider · Type 1 NPI

Jared Michael Southwell, DMD

Dentist · Joplin, MO

NPI number 1689950503 Active

Practice location

2901 St. John's Blvd
Joplin, MO 64804-1598

Call (417) 208-0630 Map

Mailing address

2901 Saint Johns Blvd
Joplin, MO 64804-1598

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDD3690 (NM)
Dentist Primary 122300000X2025023621 (MO)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1689950503

Jared Michael Southwell, DMD's National Provider Identifier is 1689950503, issued on Oct 24, 2011. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Joplin, MO. The record was last updated on Aug 1, 2025.