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Active NPI 1811990880 Individual Practitioner Male Practitioner

Dr. Richard M Omohundro , DDS

Dentist - General Practice • Fulton, MO

Professional Overview & Biography Verified Profile Summary

Dr. Richard Omohundro, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fulton, MO. Practice services are available at 214 E 2ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

214 E 2nd St

Fulton, MO 652511650

Telephone 5736426624
Fax 5736426210
Associated Practice Facility / Clinic
🏢 Joshua S. Prather Dds, Llc Facility NPI 1316558307

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fulton, MO

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

Practicing in Fulton, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 12926

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

1 Associated Practitioners
Dr. Joshua Prather , DDS

Dentist - General Practice

NPI 1689102238

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 214 E 2ND ST, FULTON, MO 652511650 (Tel: 5736426624)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1311 CEDARWOOD DR, FULTON, MO 652512276 (Tel: 5736425075)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RICHARD OMOHUNDRO, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #12926 in MO)

🟢
Initial NPI Registration & Enumeration May 24, 2005

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: 1811990880
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2005
Last Update: July 13, 2026
Sole Proprietor: No
Update or Correct Profile

Mailing Address

1311 Cedarwood Dr

Fulton, MO 652512276

Phone: 5736425075

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.