Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Creekside Dental Group LLC

Organization Dentist · NPI 1770493918

Creekside Dental Group LLC provides Dentist services in Parkville, Missouri. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15325 Old Town Dr Ste 110
Parkville, MO 64152-2523
Phone: (816) 957-1955
Fax: (816) 957-1956
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1770493918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Tinnel — Owner · (913) 620-9073
NPI enumeratedSeptember 10, 2026
Last updated in NPPESSeptember 10, 2026
Certification dateSeptember 10, 2026
Mailing address15325 Old Town Dr Ste 110, Parkville, MO 64152-2523

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