OrganizationActive
Northside Dental Clinic
NPI 1538288071 · General Practice Dentistry · Springfield, MO
Northside Dental Clinic is a General Practice Dentistry organization in Springfield, MO (NPI 1538288071).
Provider details
- NPI number
- 1538288071
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lemmie Williams, Account Manager(417) 862-2468
- License
- 10691 (MO)
Specialties & taxonomies
Dental Providers
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
2105 W Kearney St
Suite a
Springfield, MO 65803-1652
Phone: (417) 862-2468
Fax: (417) 863-6775
Street-level locationGet directions
Mailing address
2105 W Kearney St
Springfield, MO 65803-1652
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2020-08-22
Frequently asked questions
- What is Northside Dental Clinic's NPI number?
- Northside Dental Clinic's National Provider Identifier (NPI) is 1538288071, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northside Dental Clinic?
- Northside Dental Clinic is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Northside Dental Clinic located?
- Northside Dental Clinic's practice location on file with NPPES is 2105 W Kearney St, Springfield, MO 65803-1652.
- What is Northside Dental Clinic's phone number?
- The practice phone number listed in the NPPES registry for Northside Dental Clinic is (417) 862-2468.
- Who is the authorized official for Northside Dental Clinic?
- The authorized official listed on Northside Dental Clinic's NPPES record is Lemmie Williams, Account Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northside Dental Clinic's NPI active?
- Yes — Northside Dental Clinic's NPI (1538288071) is active in the NPPES registry as of the last update on 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.