Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285085175 Individual Practitioner Female Practitioner

Dr. Jeena Priya Krishna , DDS

Dentist - General Practice • Sullivan, MO

Professional Overview & Biography Verified Profile Summary

Dr. Jeena Krishna, DDS is a registered healthcare professional specializing in Dentist - General Practice in Sullivan, MO. Practice services are available at 101 PROGRESS PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Progress Pkwy

Sullivan, MO 630802359

Telephone 8448538937
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Sullivan, MO

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

Practicing in Sullivan, 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: 2025-12-16
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 2022000017

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.

Secondary Practice Locations

203 E Broadway St

Bolivar, MO 656131623

Phone: 4177450103

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

17 Historical Events
📍
Updated Practice Location December 16, 2025

Registered at 101 PROGRESS PKWY, SULLIVAN, MO 630802359 (Tel: 8448538937)

📍
Updated Business Mailing Address December 16, 2025

Registered at 1800 COMMUNITY, CLINTON, MO 647358804 (Tel: 8448538937)

👤
Provider Name / Credentials Updated December 16, 2025

Recorded as JEENA KRISHNA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2025

Dentist (License #2022000017 in MO)

📍
Updated Practice Location February 21, 2023

Registered at 203 E BROADWAY ST, BOLIVAR, MO 656131623 (Tel: 4177450103)

📍
Updated Business Mailing Address February 21, 2023

Registered at 203 E BROADWAY ST, BOLIVAR, MO 656131623 (Tel: 4177450103)

NPI Profile Active January 23, 2018

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address January 23, 2018

Registered at 1215 VANOALIA AVE, COLLINSVILLE, IL 62234 (Tel: 6183436015)

📍
Updated Practice Location January 23, 2018

Registered at 6560 W FULLERTON AVE, UNIT C106, CHICAGO, IL 607073439 (Tel: 7733856700)

👤
Provider Name / Credentials Updated January 23, 2018

Recorded as JEENA PRIYA KRISHNA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2018

Dentist (License #019.030733 in IL)

NPI Profile Active June 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2016

Registered at 6560 W FULLERTON AVE, UNIT C106, CHICAGO, IL 607073439 (Tel: 7733856700)

📍
Updated Business Mailing Address June 22, 2016

Registered at 350 N CLARK ST, 6TH FLOOR, CHICAGO, IL 606544712 (Tel: 3122744520)

👤
Provider Name / Credentials Updated June 22, 2016

Recorded as JEENA PRIYA KRISHNA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2016

Dentist (License #019.030733 in IL)

🟢
Initial NPI Registration & Enumeration June 22, 2016

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: 1285085175
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2016
Last Update: December 16, 2025
Sole Proprietor: No

Mailing Address

1800 Community

Clinton, MO 647358804

Phone: 8448538937

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.