# ACCENT DENTAL CENTER ON FORUM, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1730236894
- **Authorized official:** MRS. HEATHER R. BURTON (OFFICE MANAGER)
- **Authorized official phone:** (573) 446-7181

## Contact information

- **Practice address:** 1401 FORUM BLVD, STE. 203, COLUMBIA, MO 65203-1915
- **Practice address phone:** (573) 446-7181
- **Practice address fax:** (573) 446-1770
- **Mailing address:** 1401 FORUM BLVD, STE. 203, COLUMBIA, MO 65203-1915
- **Mailing address phone:** (573) 446-7181
- **Mailing address fax:** (573) 446-1770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2003011293 | MO | — |
| 1223P0221X | Pediatric Dentistry | 010435 | MO | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 1223X2210X | Orofacial Pain Dentistry | — | NULL | — |
| 1223X2210X | Orofacial Pain Dentistry | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 09/16/2021