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

Logan H. Childers Jr DDS and Associates

Organization Dentist · NPI 1164645438

Logan H. Childers Jr DDS and Associates provides Dentist services in Independence, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
2

Practice location Address checks out

12600 E US Highway 40
Independence, MO 64055-5955
Phone: (816) 478-4202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 011990 (MO)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 010648 (MO)

Record details

NPI number1164645438
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Logan Childers — Owner · (816) 478-4202
NPI enumeratedApril 11, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address12600 E Us Highway 40, Independence, MO 64055-5955

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