OrganizationActive
Dexter Hospital LLC
NPI 1073656153 · Pediatrics Physician · Dexter, MO
Provider details
- NPI number
- 1073656153
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sue Williams, Clinic Administrator(573) 624-1640
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1300 N One Mile Rd
Suite 2
Dexter, MO 63841-1042
Phone: (573) 624-6442
Street-level locationGet directions
Mailing address
Po Box 368
Dexter, MO 63841-0368
Other names (DBA / former)
- Doing business as
- Dexter Childrens Clinic
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.