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

Missouri Smiles LLC

Organization Dental Clinic/Center · NPI 1508549130

Missouri Smiles LLC is a Dental Clinic/Center in Columbia, Missouri. Registered with an NPI since 2023.

In the registry since
2023
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

3621 Discovery Pkwy Ste 101
Columbia, MO 65201
Phone: (573) 424-2067
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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 number1508549130
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Lisenby — Dentist Owner · (573) 424-2067
Other names Tbd
NPI enumeratedAugust 10, 2023
Last updated in NPPESAugust 10, 2023
Certification dateAugust 8, 2023
Mailing address2102 Port Townsend Ct, Columbia, MO 65203-1014

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