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

Neosho Kids Dental, LLC

Organization Pediatric Dentistry · NPI 1851101422

Neosho Kids Dental, LLC is a Pediatric Dentistry in Neosho, Missouri. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3201 Lusk Dr Ste 111K
Neosho, MO 64850-2019
Phone: (918) 998-0996
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1851101422
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Creed Cardon — Owner/Dentist · (918) 998-0996
Other names Neosho Kids Dental
NPI enumeratedJanuary 7, 2025
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025
Mailing address400 Riverwalk Ter Ste 250, Jenks, OK 74037-5619