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

Mr. Michael Lee Minten Sr., DDS

Individual provider Dentist · NPI 1730153784

Mr. Michael Lee Minten Sr., DDS is a Dentist in Columbia, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1100 Club Village Dr Ste 102
Columbia, MO 65203-4411
Phone: (573) 443-5195
Fax: (573) 449-1269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 014811 (MO)

Record details

NPI number1730153784
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 15, 2006
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023
Mailing address1100 Club Village Drive, Suite 102, Columbia, MO 65203-4411

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