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

Rolla Family Dentistry Inc

Organization General Practice Dentistry · NPI 1154725745

Rolla Family Dentistry Inc is a General Practice Dentistry in Rolla, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1701 E 10th St
Rolla, MO 65401-4601
Phone: (573) 364-1599
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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 · Licence 015882 (MO)

Record details

NPI number1154725745
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Kiersz — Owner/President · (573) 364-1599
NPI enumeratedOctober 10, 2014
Last updated in NPPESOctober 10, 2014
Mailing address1701 E 10th St, Rolla, MO 65401-4601

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