Cedric Papa, D.D.S.
Dentist, General Practice in Columbia, MO. Individual provider (NPI-1).
NPI number1407110992
StatusActive
Last updated in NPPESFeb 4, 2016
Details
- NPI
- 1407110992
- Entity type
- Individual (NPI-1)
- Name
- Cedric Papa
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2012
- Last updated
- Feb 4, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - ORAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2012021220 | MO | Yes |
Practice location
2211 Hollow Ridge CtColumbia, MO 65201-9854
Phone 415-413-7272
Mailing address
106 S Main StVandalia, MO 63382-1806
Phone 573-594-6166
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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