Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487063152 Individual Practitioner Male Practitioner

Dr. Jacob Matthew Anderson , DDS

Dentist • Lees Summit, MO

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Anderson, DDS is a registered healthcare professional specializing in Dentist in Lees Summit, MO. Practice services are available at 300 SE 2ND ST STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 Se 2nd St Ste 200

Lees Summit, MO 640632759

Telephone 8165246300
Associated Practice Facility / Clinic
🏢 Kallsnick & Careswell Facility NPI 1194830992

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Lees Summit, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
38 Specialists

Practicing in Lees Summit, MO (1740 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: 2021-01-02
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MO 2014016763

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

652 Hamilton Rd, Usa Dental Activity

Ft. Sill, OK 73503

Phone: 5804423905

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Sam Kallsnick , DDS, PC

Dentist - General Practice

NPI 1225068497

Doctor of Dental Surgery, PC

Dr. Holli Careswell , DDS, PC

Dentist - General Practice

NPI 1831120526

Doctor of Dental Surgery, PC

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 02, 2021

Registered at 300 SE 2ND ST STE 200, LEES SUMMIT, MO 640632759 (Tel: 8165246300)

📍
Updated Business Mailing Address January 02, 2021

Registered at 300 SE 2ND ST STE 200, LEES SUMMIT, MO 640632759 (Tel: 8165246300)

NPI Profile Active August 07, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2014

Registered at 652 HAMILTON RD, USA DENTAL ACTIVITY, FT. SILL, OK 73503 (Tel: 5804423905)

📍
Updated Business Mailing Address August 07, 2014

Registered at 652 HAMILTON RD, USA DENTAL ACTIVITY, FT. SILL, OK 73503 (Tel: 5804423905)

👤
Provider Name / Credentials Updated August 07, 2014

Recorded as JACOB ANDERSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2014

Dentist (License #2014016763 in MO)

🟢
Initial NPI Registration & Enumeration August 07, 2014

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: 1487063152
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2014
Last Update: January 02, 2021
Sole Proprietor: Yes

Mailing Address

300 Se 2nd St Ste 200

Lees Summit, MO 640632759

Phone: 8165246300

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.