Innovative Dental
NPI 1043622368 · Preferred Provider Organization · Springfield, MO
Innovative Dental is a Preferred Provider Organization organization in Springfield, MO (NPI 1043622368).
Provider details
- NPI number
- 1043622368
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Grant Olson, President/Owner(417) 889-4746
- License
- 2011016216 (MO)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-05-21
- Last updated
- 2014-05-21
Frequently asked questions
- What is Innovative Dental's NPI number?
- Innovative Dental's National Provider Identifier (NPI) is 1043622368, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Dental?
- Innovative Dental is classified in the NPPES registry as Preferred Provider Organization (Managed Care Organizations).
- Where is Innovative Dental located?
- Innovative Dental's practice location on file with NPPES is 3424 S Culpepper Ct, Springfield, MO 65804-3755.
- What is Innovative Dental's phone number?
- The practice phone number listed in the NPPES registry for Innovative Dental is (417) 889-4746.
- Who is the authorized official for Innovative Dental?
- The authorized official listed on Innovative Dental's NPPES record is Grant Olson, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Dental's NPI active?
- Yes — Innovative Dental's NPI (1043622368) is active in the NPPES registry as of the last update on 2014-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.