Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Formanek DDS LLC

Organization General Practice Dentistry · NPI 1508355900

Formanek DDS LLC is a General Practice Dentistry in Jefferson City, Missouri. Registered with an NPI since 2018.

In the registry since
2018
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

2226 Missouri Blvd
Jefferson City, MO 65109-4727
Phone: (573) 658-4022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1508355900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Formanek — Owner · (573) 658-4022
NPI enumeratedMay 2, 2018
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023
Mailing addressPo Box 70887, Cleveland, OH 44190-7088

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