OrganizationActive
Independence Dental, LLC
NPI 1104598721 · Dental Clinic/Center · Independence, KS
Independence Dental, LLC is a Dental Clinic/Center organization in Independence, KS (NPI 1104598721).
Provider details
- NPI number
- 1104598721
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Juan Reynolds, Owner/Dentist(918) 907-1335
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
308 N 6th St
Independence, KS 67301-3129
Phone: (620) 331-4499
Street-level locationGet directions
Mailing address
308 N 6th St
Independence, KS 67301-3129
Registry dates
- Enumerated
- 2021-10-01
- Last updated
- 2021-10-01
- Certified
- 2021-10-01
Frequently asked questions
- What is Independence Dental, LLC's NPI number?
- Independence Dental, LLC's National Provider Identifier (NPI) is 1104598721, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Independence Dental, LLC?
- Independence Dental, LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Independence Dental, LLC located?
- Independence Dental, LLC's practice location on file with NPPES is 308 N 6th St, Independence, KS 67301-3129.
- What is Independence Dental, LLC's phone number?
- The practice phone number listed in the NPPES registry for Independence Dental, LLC is (620) 331-4499.
- Who is the authorized official for Independence Dental, LLC?
- The authorized official listed on Independence Dental, LLC's NPPES record is Juan Reynolds, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Independence Dental, LLC's NPI active?
- Yes — Independence Dental, LLC's NPI (1104598721) is active in the NPPES registry as of the last update on 2021-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.