Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477884351 Individual Practitioner Female Practitioner

Krystal Gillis

Dentist - General Practice • Clinton, MO

Professional Overview & Biography Verified Profile Summary

Krystal Gillis is a registered healthcare professional specializing in Dentist - General Practice in Clinton, MO. Practice services are available at 1108 E OHIO ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1108 E Ohio St

Clinton, MO 647352458

Telephone 6608856933
Associated Practice Facility / Clinic
🏢 Gillis Family Dentistry Facility NPI 1972992162

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Clinton, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
12 Specialists

Practicing in Clinton, MO (2113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-11-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 2008016892

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IA 08688

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1134964026
Dr. Robert Sexauer , DDS

Dentist - General Practice

NPI 1275539322

Doctor of Dental Surgery

NPI 1811554595

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location November 01, 2023

Registered at 1108 E OHIO ST, CLINTON, MO 647352458 (Tel: 6608856933)

📍
Updated Business Mailing Address November 01, 2023

Registered at 1108 E OHIO ST, CLINTON, MO 647352458 (Tel: 6608856933)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2023

Dentist (License #08688 in IA)

NPI Profile Active February 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2017

Registered at 2000 N GAINES DR, CLINTON, MO 647351132 (Tel: 6608856933)

📍
Updated Business Mailing Address February 10, 2017

Registered at 2000 N GAINES DR, CLINTON, MO 647351132 (Tel: 6608856933)

👤
Provider Name / Credentials Updated February 10, 2017

Recorded as KRYSTAL GILLIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2017

Dentist (License #2008016892 in MO)

NPI Profile Active October 16, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2014

Registered at 2000 N GAINES DR, CLINTON, MO 647351132 (Tel: 6608856933)

📍
Updated Business Mailing Address October 16, 2014

Registered at 2000 N GAINES DR, CLINTON, MO 647351132 (Tel: 6608856933)

👤
Provider Name / Credentials Updated October 16, 2014

Recorded as KRYSTAL GILLIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2014

Dentist (License #2008016892 in MO)

🟢
Initial NPI Registration & Enumeration January 17, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477884351
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2010
Last Update: November 01, 2023
Sole Proprietor: No

Mailing Address

1108 E Ohio St

Clinton, MO 647352458

Phone: 6608856933

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.