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

Tailwater Practice Partners

Organization Dental Clinic/Center · NPI 1073393336

Tailwater Practice Partners is a Dental Clinic/Center in Rolla, Missouri. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1701 E 10th St
Rolla, MO 65401-4601
Phone: (573) 364-1599
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1073393336
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTw New Dentistry, PLLC
Authorized official Ryan McCostlin — Ceo · (615) 479-2196
Other names Rolla Family Dentistry
NPI enumeratedOctober 4, 2023
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023
Mailing address10 Burton Hills Blvd Ste 400, Nashville, TN 37215-3004

Other providers in Rolla