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

Dr. Jared Michael Southwell, DMD

Individual provider Dentist · NPI 1689950503

Dr. Jared Michael Southwell, DMD is a Dentist in Joplin, Missouri. Practices as a sole proprietor. Licensed in Missouri and New Mexico.

Licensed in
MO, NM
In the registry since
2011
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2901 St John's Blvd
Joplin, MO 64804-1598
Phone: (417) 208-0630
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2025023621 (MO)
Dentist Taxonomy 122300000X · Licence DD3690 (NM)

Record details

NPI number1689950503
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedOctober 24, 2011
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025
Mailing address2901 Saint Johns Blvd, Joplin, MO 64804-1598

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