MEDICARE: HILLSIDE FAMILY DENTAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1295998854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILLSIDE FAMILY DENTAL

Provider Business Mailing Address
First Line	:	1001 W HILL ST
Second Line	:
City	:	NEOSHO
State	:	MO
Zip	:	64850-1642
Country	:	US
Telephone Number	:	417-451-6604
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 W HILL ST
Second Line	:
City	:	NEOSHO
State	:	MO
Zip	:	64850-1642
Country	:	US
Telephone Number	:	417-451-6604
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DR.
Name	:	DR. MISTY MICHELLE DEATON
Credential	:	DDS
Telephone Number	:	417-451-6604

Provider Enumeration Date	:	07/03/2008
Last Update Date	:	07/03/2008

Similar Medicare Providers

1154393296 — DR. WILLIAM DOUGLAS BURCH D.D.S.
Practice Location Address:

1001 W HILL ST
NEOSHO, MO
64850-1642

Practice Phone: 417-451-6600
Practice Fax: 417-451-6060

1942409008 — DR. MISTY M DEATON D.D.S.
Practice Location Address:

1001 W HILL ST
NEOSHO, MO
64850-1642

Practice Phone: 417-451-6600
Practice Fax:

1972770212 — WILLIAM D BURCH DDS LLC
Practice Location Address:

1001 W HILL ST
NEOSHO, MO
64850-1642

Practice Phone: 417-451-6600
Practice Fax: 417-451-6060

1043925829 — DANIELLE N KELSEY LCSW
Practice Location Address:

3101 LUSK DR STE 112
NEOSHO, MO
64850-2010

Practice Phone: 417-596-2415
Practice Fax:

1801891387 — DR. MICHAEL JOHN FARRIS M.D.
Practice Location Address:

113 W HICKORY ST
NEOSHO, MO
64850

Practice Phone: 417-455-4276
Practice Fax:

1568460590 — DR. HORACE REX PETERSEN D.O.
Practice Location Address:

4040 LA QUESTA DR
NEOSHO, MO
64850-2849

Practice Phone: 417-451-1833
Practice Fax: 417-451-1825

Directions to “HILLSIDE FAMILY DENTAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.