Healthcare Provider Details

I. General information

NPI: 1407710452
Provider Name (Legal Business Name): SHOW-ME ENDODONTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E CLEVELAND AVE
MONETT MO
65708-1265
US

IV. Provider business mailing address

800 E CLEVELAND AVE
MONETT MO
65708-1265
US

V. Phone/Fax

Practice location:
  • Phone: 417-235-5155
  • Fax: 417-236-0015
Mailing address:
  • Phone: 417-235-5155
  • Fax: 417-236-0015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. CRAIG MICHAEL MULHERIN
Title or Position: ENDODONTIST/PRESIDENT
Credential: DDS
Phone: 417-235-5155