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

Southeast Missouri Health Network

Organization General Practice Dentistry · NPI 1013229749

Southeast Missouri Health Network is a General Practice Dentistry in Kennett, Missouri. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
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Practice location Address checks out

500 Russell St
Kennett, MO 63857-2102
Phone: (573) 888-3000
Fax: (573) 888-3003
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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
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X

Record details

NPI number1013229749
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chris Jones — Chief Executive Officer · (573) 748-2404
Other names Otto Bean Dental Clinic
NPI enumeratedJuly 10, 2010
Last updated in NPPESAugust 6, 2014
Mailing address420 Semo Dr, P.O. Box 400, New Madrid, MO 63869-1734

Other providers in Kennett