Smile Clubhouse Ozark LLC
NPI 1104657055ActiveOrganization· Dentist, Pediatric Dentistry· Ozark, MO
Dentist, Pediatric Dentistry in Ozark, Missouri, registered in NPPES in August 2024. The authorized official on file is Stephen G. Dove, DDS, Owner.
Overview
| NPI | 1104657055 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2024 |
| Last updated in NPPES | Sep 29, 2025 |
| Certified by provider | Sep 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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