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

Higginbotham Dental Group, PLLC

Organization General Practice Dentistry · NPI 1366797953

Higginbotham Dental Group, PLLC is a General Practice Dentistry in Kennett, Missouri. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

103 1st St
Kennett, MO 63857-2051
Phone: (573) 888-9944
Fax: (573) 888-9789
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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 number1366797953
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Misti Ross — Ins Director · (870) 336-3732
Other names Doing Business As
NPI enumeratedJuly 19, 2012
Last updated in NPPESOctober 14, 2020
Certification dateOctober 14, 2020
Mailing address1804 Old Greensboro Rd Bldg B, Jonesboro, AR 72405-0003

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