Organization
KAVERIAN LLC DBA KENNETT DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA IRVIN (OFFICE MANAGER)
(417) 264-7266
Entity
Organization
Contact information
Practice address
205 TEACO RD, KENNETT, MO 63857-3236
(573) 888-3521
(573) 888-0973
Mailing address
205 TEACO RD, KENNETT, MO 63857-3236
(573) 888-3521
(573) 888-0973
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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