Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Custom Dental of Harrisonville, PLLC

Organization General Practice Dentistry · NPI 1215231360

Custom Dental of Harrisonville, PLLC provides General Practice Dentistry in Harrisonville, Missouri. Licensed in Oklahoma. Registered with an NPI since 2011.

Licensed in
OK
In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2100 N 291 Hwy
Harrisonville, MO 64701-1226 Not confirmed with CMS for 15 years — call before visiting
Phone: (405) 282-6440
Fax: (405) 282-6785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6123 (OK)

Record details

NPI number1215231360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Wassink — Dentist · (405) 282-6440
NPI enumeratedJanuary 4, 2011
Last updated in NPPESJanuary 4, 2011
Mailing address2100 N 291 Hwy, Harrisonville, MO 64701-1226

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