MARK L. DAKE DDS, MSD AND DAVID SANDER DMD, MDS


Address: 181 N. Kentucky, Suite 300, West Plains, MO 65775
Phone: 4172565100

MARK L. DAKE DDS, MSD AND DAVID SANDER DMD, MDS (NPI# 1346682184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346682184
Entity Type Organization
Organization Name MARK L. DAKE DDS, MSD AND DAVID SANDER DMD, MDS
Other Organization Name ORTHODONTIC SPECIALISTS OF THE OZARKS
Practice Address 181 N. Kentucky
Suite 300
West Plains
MO 65775
Practice Telephone 4172565100
Practice Fax Number 4172570721
Mailing Telephone 4172565100
Mailing Fax Number 4172570721
Enumeration Date 2013-07-22
Last Update Date 2013-07-22
Authorized Official Name DR. MARK DAKE (MEMBER)
Authorized Official Telephone 4172565100
Authorized Official Credential DDS, MSD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Orthodontic Specialists of The Ozarks Doing Business As Name - Organization

Office Location

Street Address 181 N. KENTUCKY
SUITE 300
City WEST PLAINS
State MO
Zip Code 65775

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1295184166 Shaunda Faye Wolfe Case Manager/Care Coordinator 2301 K Hwy Apt. 2, West Plains, MO 65775 2016-06-10
1740694009 Mary Loretta Rogganbuck Counselor 1211 Porter Wagoner #23, West Plains, MO 65775 2014-06-16
1548673858 John Tollenaar Physical Therapist 1480 8th Streeet, West Plains, MO 65775 2014-06-04
1861818080 Raymond Eugene Richardson Case Manager/Care Coordinator 1015 Lanton Road, West Plains, MO 65775 2014-03-12
1710309083 Jared M Sadowitz Physical Therapist 1100 Kentucly Ave, West Plains, MO 65775 2014-01-06
1427307024 Anita M. Nelson Behavioral Analyst 8388 Pr 2731, West Plains, MO 65775 2012-08-29
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1952673543 Gretchen Cook Occupational Therapist 1111 Kentucy Ave, West Plains, MO 65775 2012-01-30
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447260930 Mark L. Dake Dentist 181 N Kentucky Ave, West Plains, MO 65775-2089 2006-08-08
1447482120 David Justin Sander Dentist 181 N Kentucky Ave, Suite 300, West Plains, MO 65775-2089 2009-08-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649878034 Soh of Missouri Samson Liu PC Dentist 810 Ofallon Rd Ste 70, Weldon Spring, MO 63304-8107 2020-10-16
1952918054 Candid Missouri, LLC Dentist 7431 Broadway, Kansas City, MO 64114-1529 2020-09-23
1659915098 Cheif Smiles LLC Dentist 620 E. Us Highway 40, Blue Springs, MO 64014 2019-10-29
1780140459 Evan W Brown Dds Inc Dentist 160 Four Seasons Shopping Ctr, Chesterfield, MO 63017-3104 2019-02-18
1376014852 Catherine Loner Dentist 1470 S New Florissant Rd, Florissant, MO 63031-8198 2018-12-10
1972079556 Erin Corsi Fraundorf Dentist 3009 State Hwy K, O'fallon, MO 63368 2018-10-22
1699281121 St Louis South Orthodontics Dentist 9911 Kennerly Rd Ste H, Saint Louis, MO 63128-2700 2017-12-20
1023557766 Uncommon Orthodontics By William A. Pickard, Dds, Ms, Pllc Dentist 2330 S Range Line Rd Ste E, Joplin, MO 64804-3267 2017-02-14
1023556743 Mark Humphrey Dentist 8657 Old Bonhomme Rd, Saint Louis, MO 63132-3901 2017-02-01
1912458688 Jerry F. Cash Dentist 2844 S Ingram Mill Rd, Springfield, MO 65804-4042 2016-10-18
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Competitor

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City WEST PLAINS
Zip Code 65775

Improve Information

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Dataset Information

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.

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