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

Southeast Missouri Health Network

Organization Dentist · NPI 1679019491

Southeast Missouri Health Network is a Dentist in East Prairie, Missouri. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

111 Prairie Dr
East Prairie, MO 63845
Phone: (573) 649-9311
Fax: (573) 649-9331
Show map & directions

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

Additional practice locations (1)

  • 111 Prairie Dr, East Prairie, MO 63845-1114 — (573) 649-9311

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1679019491
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSoutheast Missouri Health Network
Authorized official Sara Deane — Cfo · (573) 313-2500
NPI enumeratedJanuary 18, 2017
Last updated in NPPESNovember 9, 2017
Mailing address111 Prairie Drive, East Prairie, MO 63845