OrganizationActive
Free State Dental
NPI 1912778804 · Dental Clinic/Center · De Soto, KS
Free State Dental is a Dental Clinic/Center organization in De Soto, KS (NPI 1912778804).
Provider details
- NPI number
- 1912778804
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bradley Adams, Partner(785) 843-2636
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
33391 Lexington Avenue
Suite C
De Soto, KS 66018
Phone: (785) 843-2636
Street-level locationGet directions
Mailing address
4111 W 6th St
Lawrence, KS 66049-4609
Other names (DBA / former)
- Doing business as
- Free State Dental of De Soto
Registry dates
- Enumerated
- 2024-01-10
- Last updated
- 2024-01-10
- Certified
- 2024-01-08
Frequently asked questions
- What is Free State Dental's NPI number?
- Free State Dental's National Provider Identifier (NPI) is 1912778804, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Free State Dental?
- Free State Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Free State Dental located?
- Free State Dental's practice location on file with NPPES is 33391 Lexington Avenue, De Soto, KS 66018.
- What is Free State Dental's phone number?
- The practice phone number listed in the NPPES registry for Free State Dental is (785) 843-2636.
- Who is the authorized official for Free State Dental?
- The authorized official listed on Free State Dental's NPPES record is Bradley Adams, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Free State Dental's NPI active?
- Yes — Free State Dental's NPI (1912778804) is active in the NPPES registry as of the last update on 2024-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.