Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962419010 Individual Practitioner Male Practitioner

Dr. Trevor Alan Knowles , DMD

Dentist - General Practice • Columbia, MO

Professional Overview & Biography Verified Profile Summary

Dr. Trevor Knowles, DMD is a registered healthcare professional specializing in Dentist - General Practice in Columbia, MO. Practice services are available at 1101 N PROVIDENCE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1101 N Providence Rd

Columbia, MO 652034365

Telephone 8448538937
Fax 5734425208
Associated Practice Facility / Clinic
🏢 Compass Health, Inc. Facility NPI 1275670747

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Columbia, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.7 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
69 Specialists

Practicing in Columbia, 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: 2022-09-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 2019003731

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
400067176 (MO)

Secondary Practice Locations

307 Broadway

Salisbury, MO 652811037

Phone: 8448538937

1600 N Missouri Ave

Marceline, MO 646581012

Phone: 8448538937

2475 Broadway Bluffs Dr

Columbia, MO 652018148

Phone: 8448538937

1001 W Worley St

Columbia, MO 652032037

Phone: 8448538937

303 N Keene St Ste 202

Columbia, MO 652018052

Phone: 8448538937

Practice Associates & Co-Workers

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

40 Associated Practitioners
Charlene Atkins

Counselor - Professional

NPI 1003075482
NPI 1003270851

Master of Arts, LADCS, CPCI, Licensed Professional Counselor

Lindsey Rahe

Counselor - Professional

NPI 1003452186
Kayle Streb , LCSW

Social Worker - Clinical

NPI 1003503467

Licensed Clinical Social Worker

Lindsay Ingram , LPC

Counselor - Professional

NPI 1003527144

Licensed Professional Counselor

Dr. Nikesha Walters , DMD

Dentist - General Practice

NPI 1003545294

Doctor of Dental Medicine

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Business Mailing Address September 26, 2022

Registered at 1800 COMMUNITY, CLINTON, MO 647358804 (Tel: 6608858131)

📍
Updated Practice Location August 26, 2020

Registered at 1101 N PROVIDENCE RD, COLUMBIA, MO 652034365 (Tel: 5737778997)

📍
Updated Practice Location August 22, 2019

Registered at 2475 BROADWAY BLUFFS DR, COLUMBIA, MO 652018148 (Tel: 5737779282)

📍
Updated Business Mailing Address August 22, 2019

Registered at 1001 W WORLEY ST, COLUMBIA, MO 652032037 (Tel: 5738866741)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2019

Dentist (License #2019003731 in MO)

NPI Profile Active May 03, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2012

Registered at 3150 E 41ST ST, SUITE 108, TULSA, OK 741053717 (Tel: 9187424500)

📍
Updated Business Mailing Address May 03, 2012

Registered at 3150 E 41ST ST STE 108, TULSA, OK 741053758 (Tel: 9187424500)

👤
Provider Name / Credentials Updated May 03, 2012

Recorded as TREVOR KNOWLES, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2012

Dentist (License #5776 in OK)

🟢
Initial NPI Registration & Enumeration August 02, 2006

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: 1962419010
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2006
Last Update: September 26, 2022
Sole Proprietor: No

Mailing Address

1800 Community

Clinton, MO 647358804

Phone: 6608858131

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.