OrganizationActive
Raytown Dental PLLC
NPI 1205416047 · Dentist · Raytown, MO
Raytown Dental PLLC is a Dentist organization in Raytown, MO (NPI 1205416047).
Provider details
- NPI number
- 1205416047
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Creed Cardon, Owner(918) 998-0996
Specialties & taxonomies
Dental Providers
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
5 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
10208 E State Route 350
Raytown, MO 64138-1805
Phone: (816) 356-2476
Street-level locationGet directions
Mailing address
400 Riverwalk Ter Ste 250
Jenks, OK 74037-5619
Registry dates
- Enumerated
- 2021-04-14
- Last updated
- 2023-11-08
- Certified
- 2023-11-08
Frequently asked questions
- What is Raytown Dental PLLC's NPI number?
- Raytown Dental PLLC's National Provider Identifier (NPI) is 1205416047, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Raytown Dental PLLC?
- Raytown Dental PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Raytown Dental PLLC located?
- Raytown Dental PLLC's practice location on file with NPPES is 10208 E State Route 350, Raytown, MO 64138-1805.
- What is Raytown Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Raytown Dental PLLC is (816) 356-2476.
- Who is the authorized official for Raytown Dental PLLC?
- The authorized official listed on Raytown Dental PLLC's NPPES record is Creed Cardon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Raytown Dental PLLC's NPI active?
- Yes — Raytown Dental PLLC's NPI (1205416047) is active in the NPPES registry as of the last update on 2023-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.