OrganizationActive
Mint Dental Independence, LLC.
NPI 1609504471 · Dental Clinic/Center · Independence, MO
Provider details
- NPI number
- 1609504471
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wayne Dobbins, Ceo(480) 343-5072
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
514 S Noland Rd Ste 120
Independence, MO 64050-3973
Phone: (816) 836-5520
Street-level locationGet directions
Mailing address
15933 W 65th St
Shawnee, KS 66217-9342
Other names (DBA / former)
- Doing business as
- Mint Dental
Registry dates
- Enumerated
- 2022-08-10
- Last updated
- 2022-08-10
- Certified
- 2022-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.