Tailwater Practice Partners
Tailwater Practice Partners is a healthcare organization registered as Dental Clinic/Center in Rolla, MO, holding Type 2 (organization) NPI 1073393336 since 2023. The authorized official on file is Ryan Mccostlin, Ceo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1073393336 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Tailwater Practice Partners |
| Parent organization | Tw New Dentistry, Pllc |
| Practice address | 1701 E 10TH ST, Rolla, MO, 65401 |
| Phone | 5733641599 |
| Enumeration date | 2023-10-04 |
| Last updated in NPPES | 2023-10-04 |
Authorized official
| Name | Ryan Mccostlin |
|---|---|
| Title | Ceo |
| Phone | 6154792196 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Tailwater Practice Partners NPI: 1073393336 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 1701 E 10TH ST, Rolla, MO, 65401
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1154725745 | Rolla Family Dentistry Inc | Organization | General Practice Dentistry | Rolla, MO |
| 1609649524 | Tw Practice Partners Missouri PC | Organization | General Practice Dentistry | Rolla, MO |
| 1972345700 | Salim Mistrih | Individual | Dentist | Rolla, MO |
Verify this record
Cross-check NPI 1073393336 against the authoritative CMS record: view Tailwater Practice Partners on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Tailwater Practice Partners?
Who is the authorized official for Tailwater Practice Partners?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2023-10-04.