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

Innovative Dental

Organization Preferred Provider Organization · NPI 1043622368

Innovative Dental is a Preferred Provider Organization in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3424 S Culpepper Ct
Springfield, MO 65804-3755
Phone: (417) 889-4746
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 2011016216 (MO)

Record details

NPI number1043622368
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grant Olson — President/Owner · (417) 889-4746
NPI enumeratedMay 21, 2014
Last updated in NPPESMay 21, 2014
Mailing address3424 S Culpepper Ct, Springfield, MO 65804-3755

Other providers in Springfield