OrganizationActive
South Independence Dental LLC
NPI 1245842202 · Dentist · Independence, MO
South Independence Dental LLC is a Dentist organization in Independence, MO (NPI 1245842202).
Provider details
- NPI number
- 1245842202
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Michael Lee, Partner(816) 897-5850
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 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
12400 E 40 Hwy
Independence, MO 64055-5929
Phone: (816) 897-5850
Fax: (816) 897-5851
Street-level locationGet directions
Mailing address
12400 E 40 Hwy
Independence, MO 64055-5929
Registry dates
- Enumerated
- 2020-08-20
- Last updated
- 2020-09-14
- Certified
- 2020-09-01
Frequently asked questions
- What is South Independence Dental LLC's NPI number?
- South Independence Dental LLC's National Provider Identifier (NPI) is 1245842202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Independence Dental LLC?
- South Independence Dental LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is South Independence Dental LLC located?
- South Independence Dental LLC's practice location on file with NPPES is 12400 E 40 Hwy, Independence, MO 64055-5929.
- What is South Independence Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for South Independence Dental LLC is (816) 897-5850.
- Who is the authorized official for South Independence Dental LLC?
- The authorized official listed on South Independence Dental LLC's NPPES record is Michael Lee, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Independence Dental LLC's NPI active?
- Yes — South Independence Dental LLC's NPI (1245842202) is active in the NPPES registry as of the last update on 2020-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.