# SIMPLY SMILES FAMILY DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124398425
- **Authorized official:** DR. DAVID KENT BUDD D.D.S. (DENTIST)
- **Authorized official phone:** (417) 732-6785

## Contact information

- **Practice address:** 1093 US HIGHWAY 60 E, REPUBLIC, MO 65738-1570
- **Practice address phone:** (417) 732-6785
- **Practice address fax:** (417) 732-6411
- **Mailing address:** 1093 US HIGHWAY 60 E, REPUBLIC, MO 65738-1570
- **Mailing address phone:** (417) 732-6785
- **Mailing address fax:** (417) 732-6411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | MO | Yes |

## Other

- **Enumeration date:** 01/04/2012
- **Last updated:** 07/21/2022
