Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477755775 Individual Practitioner Male Practitioner

Dr. Mark Roy Bagby , DDS

Dentist - General Practice • Lake Ozark, MO

Professional Overview & Biography Verified Profile Summary

Dr. Mark Bagby, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lake Ozark, MO. Practice services are available at 2935 BAGNELL DAM BLVD STE 112 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2935 Bagnell Dam Blvd Ste 112

Lake Ozark, MO 650498661

Telephone 5783499578

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lake Ozark, MO

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

Practicing in Lake Ozark, 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: 2024-07-18
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 15287

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
403024805 (MO)

Secondary Practice Locations

17611 E Us Hwy 24, Ste Hcc

Independence, MO 64056

Phone: 8773443572

718 Harvest Hills Dr

Carrollton, MO 646332412

Phone: 8773443572

608 Missouri St

Waverly, MO 640968241

Phone: 8773443572

811 S Business Highway 13 Ste A

Lexington, MO 640671572

Phone: 8773443572

324 S Hudson St

Buckner, MO 640168142

Phone: 8773443572

206 N Bismark St Ste A

Concordia, MO 640208101

Phone: 8773443572

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location February 08, 2024

Registered at 2935 BAGNELL DAM BLVD STE 112, LAKE OZARK, MO 650498661 (Tel: 5783499578)

📍
Updated Practice Location November 13, 2023

Registered at 2935 BAGNELL DAM BLVD, LAKE OZARK, MO 650498661 (Tel: 5735783499)

📍
Updated Business Mailing Address November 13, 2023

Registered at PO BOX 2546, LAKE OZARK, MO 650492546 (Tel: 5735783499)

NPI Profile Active August 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2017

Registered at 340 KELLEY PKWY, MEXICO, MO 652653811 (Tel: 5735821234)

📍
Updated Business Mailing Address August 16, 2017

Registered at 340 KELLEY PARKWAY, MEXICO, MO 652653811 (Tel: 5735821234)

👤
Provider Name / Credentials Updated August 16, 2017

Recorded as MARK BAGBY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2017

Dentist (License #15287 in MO)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2001 FREDERICK AVE, SAINT JOSEPH, MO 645011536 (Tel: 8162331285)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2001 FREDERICK AVE, SAINT JOSEPH, MO 645011536 (Tel: 8162331285)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK BAGBY, DDS

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

Dentist (License #15287 in MO)

🟢
Initial NPI Registration & Enumeration May 31, 2007

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: 1477755775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2007
Last Update: July 25, 2024
Sole Proprietor: No

Mailing Address

Po Box 2546

Lake Ozark, MO 650492546

Phone: 5735783499

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.