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

Independence Dental, LLC

Organization Dental Clinic/Center · NPI 1104598721

Independence Dental, LLC is a Dental Clinic/Center in Independence, Kansas. Registered with an NPI since 2021.

In the registry since
2021
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

308 N 6th St
Independence, KS 67301-3129
Phone: (620) 331-4499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1104598721
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juan Reynolds — Owner/Dentist · (918) 907-1335
NPI enumeratedOctober 1, 2021
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021
Mailing address308 N 6th St, Independence, KS 67301-3129

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