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Southeast Missouri Health Network

General Practice Dentistry in Kennett, MO · enumerated 2010 · authorized official Chris Jones, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013229749

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Registry record

Entity type Organization (Type 2)
Legal business name Southeast Missouri Health Network
Other name <Unavail>
Practice address 500 Russell St, Kennett, MO, 63857
Fax (573) 888-3003
Enumeration date Jul 10, 2010
Last updated in NPPES Aug 6, 2014

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Secondary

Authorized official

Name Chris Jones
Title Chief Executive Officer

Other identifiers

Identifier Type State Issuer
1013229749 Medicaid MO

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-08-06. Verify at npiregistry.cms.hhs.gov.
Where is Southeast Missouri Health Network located?
The practice location on file with NPPES is in Kennett, MO.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-08-06.