SANDRA NKECHI MUOGHALU (NPI# 1215995683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215995683 |
| Entity Type | Individual |
| Full Name | SANDRA NKECHI MUOGHALU |
| Credential | DDS |
| Practice Address |
1724 Nebraska Ave Fort Leonard Wood MO 65473-8939 |
| Practice Telephone | 5735960334 |
| Mailing Telephone | 5735960334 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2013-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7169 | KS | Dental Providers |
| Street Address |
1724 NEBRASKA AVE |
| City | FORT LEONARD WOOD |
| State | MO |
| Zip Code | 65473-8939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952386856 | Robert William Block | Dentist | 1724 Nebraska Ave, Bldg 1608, Fort Leonard Wood, MO 65473-8939 | 2005-12-13 |
| 1902247562 | Kevin Nmn Choi | Dentist | 1724 Nebraska Ave, Fort Leonard Wood, MO 65473-8939 | 2013-07-11 |
| 1821385972 | Clint Steven Conner | Dentist | 1724 Nebraska Ave, Fort Leonard Wood, MO 65473-8939 | 2011-07-08 |
| 1730499187 | Matthew James Walker | Dentist | 1724 Nebraska Ave, Bldg 1608, Fort Leonard Wood, MO 65473-8939 | 2010-10-19 |
| 1790916021 | Desiree Lenee Moore | Dentist | 1724 Nebraska Ave, Bldg 1608, Fort Leonard Wood, MO 65473-8939 | 2009-08-04 |
| 1992973531 | Noreen Ann Salmon | Dentist | 1724 Nebraska Ave, Bldg 1608, Fort Leonard Wood, MO 65473-8939 | 2008-02-18 |
| 1760687214 | General Leonard Wood Army Community Hospital | Clinic/Center | 1724 Nebraska Ave, Building 1608, Fort Leonard Wood, MO 65473-8939 | 2007-06-15 |
| 1811010242 | Ronald L Ruggiero | Dentist | 1724 Nebraska Ave, Bldg 1608, Fort Leonard Wood, MO 65473-8939 | 2007-04-09 |
| 1417039967 | Leland Blane Kimball | Dentist | 1724 Nebraska Ave, Usa Dentac, Fort Leonard Wood, MO 65473 | 2006-10-20 |
| 1730139809 | Cameron Wesley Cole | Dentist | 1724 Nebraska Ave, Bldg 1608, Fort Leonard Wood, MO 65473-8939 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192759 | Clara Boo Chai | Physician Assistant | General Leonard Wood Army Community Hospital, 4430 Missouri Ave, #1267, Fort Leonard Wood, MO 65473 | 2020-07-27 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1083133771 | Mary Joan Klemp | Family Medicine | Ganeral Leonard Wood Army Community Hospital, 4430 Missouri Ave; Meddac Case Management; Primary Care, Fort Leonard Wood, MO 65473 | 2017-09-13 |
| 1255791851 | Sarah Elizabeth Joy | Physician Assistant | 885 West 16th Street, Fort Leonard Wood, MO 65473 | 2016-02-25 |
| 1548626948 | Jaimie-lee Musen | Physical Therapist | 4430 Missouri Ave, Glwach, Fort Leonard Wood, MO 65473 | 2016-01-14 |
| 1609240852 | Angela Carson | Registered Nurse | 4330 Missouri Avenue, Fort Leonard Wood, MO 65473 | 2015-11-25 |
| 1811379407 | Katharine Leigh Stringer | Dentist | 12720 Kansas Avenue, Fort Leonard Wood, MO 65473 | 2015-06-19 |
| 1548656044 | General Leonard Wood Army Community Hospital | Clinic/Center | 12720 Kansas Ave, Bldg 789, Fort Leonard Wood, MO 65473 | 2015-04-10 |
| 1740670314 | Terricka Stewart | Specialist/Technologist | 885 West 16th St., Fort Leonard Wood, MO 65473 | 2015-02-03 |
| 1427467265 | Dianna Morrison | Social Worker | 4430 Missouri Ave Box 1278, Fort Leonard Wood, MO 65473 | 2014-08-06 |
| Find all providers in zip 65473 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811379407 | Katharine Leigh Stringer | Dentist | 12720 Kansas Avenue, Fort Leonard Wood, MO 65473 | 2015-06-19 |
| 1952386856 | Robert William Block | Dentist | 1724 Nebraska Ave, Bldg 1608, Fort Leonard Wood, MO 65473-8939 | 2005-12-13 |
| 1437121779 | Steven Paul Rubczak | Dentist | 1724 Nebraska Ave, Bldg 1608, Fort Leonard Wood, MO 65473-8939 | 2006-02-02 |
| 1205806502 | Richard Tarleton Tobias | Dentist | 1724 Nebraska Ave, Bldg 1608, Fort Leonard Wood, MO 65473-8939 | 2006-01-26 |
| 1245217843 | Mark Henry Kreutner | Dentist | 1724 Nebraska Ave, Usa Dentac, Bldg 1608, Fort Leonard Wood, MO 65473-8939 | 2005-12-27 |
| 1043297781 | Mark M Kuba | Dentist | 1724 Nebraska Ave, Bldg 1608, Fort Leonard Wood, MO 65473-8939 | 2005-12-23 |
| 1922085752 | James Edward Tupa | Dentist | 1724 Nebraska Ave, Usa Dentac Bldg 1608, Fort Leonard Wood, MO 65473-8939 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322990 | Wildhorse Dental Care, LLC | Dentist | 399 Patriotic Trl, Weldon Spring, MO 63304-7936 | 2020-10-05 |
| 1801493762 | Alexander Ahmadi | Dentist | 4171 Crescent Dr Ste 102, Saint Louis, MO 63129-3645 | 2020-10-05 |
| 1184239832 | Adam Wesley Gadbois | Dentist | 220 Diego Dr, Columbia, MO 65203-4919 | 2020-09-10 |
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1538778592 | Maya Grace Habibi | Dentist | 5212 N Service Rd, Saint Peters, MO 63376-3950 | 2020-07-27 |
| 1427667500 | Breakthrough Dental Partners LLC | Dentist | 401 E Mechanic St, Harrisonville, MO 64701-2427 | 2020-07-24 |
| 1396353876 | Michael Rehme Jr. | Dentist | 2821 N Ballas Rd Ste 245, Saint Louis, MO 63131-2378 | 2020-07-21 |
| 1790303774 | Wed Khizirpour | Dentist | 1680 Nw Chipman Rd, Lees Summit, MO 64081-3934 | 2020-07-07 |
| 1275150716 | Hills Dentistry LLC | Dentist | 2000 Kentucky Ave Ste C, Platte City, MO 64079-7714 | 2020-07-01 |
| 1134745227 | Kayla White | Dentist | 1401 Forum Blvd Ste 203, Columbia, MO 65203-1915 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | FORT LEONARD WOOD |
| Zip Code | 65473 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.