Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902892235 Individual Practitioner Female Practitioner

Dr. Lan-Tu Dang Holem , DDS

Dentist - General Practice • Mexico, MO

Professional Overview & Biography Verified Profile Summary

Dr. Lan-Tu Holem, DDS is a registered healthcare professional specializing in Dentist - General Practice in Mexico, MO. Practice services are available at 340 KELLEY PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

340 Kelley Pkwy

Mexico, MO 652653811

Telephone 5735821234
Fax 5735821212
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mexico, MO

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

Practicing in Mexico, 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: 2020-03-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 014975

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
403030430 (MO)
Commercial Insurance / Payer ID National Provider Identif
1902892235 (MO)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Ahsan Syed , MD

Psychiatry & Neurology - Psychiatry

NPI 1003970849

Doctor of Medicine (M.D.)

Kristen Fishback , LCSW

Social Worker - Clinical

NPI 1013559517

Licensed Clinical Social Worker

Mckenzi Ross , FNP

Nurse Practitioner - Family

NPI 1013706183

Family Nurse Practitioner

Patricia Erwin , LCSW

Social Worker - Clinical

NPI 1023170966

Licensed Clinical Social Worker

Mary Crews

Counselor - Professional

NPI 1023388626
Dwight Mcleod , DDSMS

Dentist - Periodontics

NPI 1063610392

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 10, 2020

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

📍
Updated Business Mailing Address February 18, 2020

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

📍
Updated Practice Location June 14, 2018

Registered at 17571 N DAM ACCESS RD, WARSAW, MO 65355 (Tel: 6604382717)

📍
Updated Business Mailing Address June 14, 2018

Registered at 821 WESTWOOD DR, SEDALIA, MO 653012102 (Tel: 6608264774)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 601 BUSINESS LOOP 70 W, SUITE 216C, COLUMBIA, MO 652032546 (Tel: 4177820080)

📍
Updated Business Mailing Address July 08, 2007

Registered at FAMILY HEALTH CENTER, 1001 WEST WORLEY, COLUMBIA, MO 652032037 (Tel: 5732142314)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LAN-TU HOLEM, D.D.S.

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

Dentist (License #014975 in MO)

🟢
Initial NPI Registration & Enumeration September 22, 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: 1902892235
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2005
Last Update: March 10, 2020
Sole Proprietor: No

Mailing Address

340 Kelley Pkwy

Mexico, MO 652653811

Phone: 5735821234

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.