OrganizationActive
Smile Dental Associates, LLC
NPI 1356716997 · General Practice Dentistry · Moberly, MO
Provider details
- NPI number
- 1356716997
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kent Johnson, President(660) 263-6642
- License
- 2011015034 (MO)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1620 E Rollins St
Moberly, MO 65270-2478
Phone: (660) 263-6642
Street-level locationGet directions
Mailing address
Po Box 306
Moberly, MO 65270-0306
Registry dates
- Enumerated
- 2015-12-08
- Last updated
- 2015-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.