NPPES file of Aug 9, 2026

Kim S. Davison, DDS

General Practice Dentistry · Bolivar, MO

Kim S. Davison, DDS is a general practice dentistry with a practice address in Bolivar, Missouri, and NPI 1306044177, issued on Jul 3, 2007. Check the license (Missouri 011222, as entered in NPPES) with the Missouri board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1306044177
Name
Kim S. Davison
Credential
DDS
Primary taxonomy
General Practice Dentistry 1223G0001X
License number
011222 MO
Self-reported in NPPES; status is on the state search
Practice location
1300 N Oakland Ave, Bolivar, MO 65613
Phone
(417) 326-2244
Enumerated
Jul 3, 2007
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(417) 326-8013
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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8 nearest general practice dentistry records → All 1,982 in Missouri → Look up another NPI →

Also registered at 1300 N Oakland Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kaylee AnkromFamily Nurse Practitioner1104474741
  2. Courtney De Souza, MDFamily Medicine Physician1255957163
  3. Stephen Finzo, PSYDPsychologist1760544381
  4. Rachel Grainger, LCSWClinical Social Worker1316452402
  5. Matt Havens, MSW LCSW, MS PA-CMedical Physician Assistant1992912216
  6. Donald Jump, DDSGeneral Practice Dentistry1316145188

Verify Kim S. Davison in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Missouri board licenses this profession
    Search for license 011222    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Missouri license search

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Kim S. Davison among 1,982 general practice dentistry records in Missouri

Kim S. Davison, DDS is one of 1,982 general practice dentistry records with a practice address in Missouri. 61% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2007, is newer than 39% of them.

  • NPI issued2007 · 39% of these records are older, 42% newer
  • In a Medicare fileNo · 61% of these records are
  • In the CMS Doctors and Clinicians fileNo · under 1% of these records are
  • Record last updated2007 · 68% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

9 general practice dentistry records list a practice address in Bolivar

They are 9 of the 373 NPPES records with a practice address in Bolivar, and 1,982 general practice dentistry records in Missouri. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 1,982 in Missouri → Every provider in Bolivar → General Practice Dentistry nationwide →

The 8 general practice dentistry records with the nearest ZIP codes

  1. Tyler Bare, DDSBoliver, MO 656131922677632
  2. Alexis Garner, DMDBolivar, MO 656131164114989
  3. Paul Gonzales, D.D.S.Bolivar, MO 656131548373897
  4. Daniel Goodman, D.D.SBolivar, MO 656131699835603
  5. Chad Guerra, D.M.D.Bolivar, MO 656131124037460
  6. Ryan Harris, DMDBolivar, MO 656131740617992
  7. Donald Jump, DDSBolivar, MO 656131316145188
  8. Timothy Jump, DDSBolivar, MO 656131780869883

Common questions

What is Kim S. Davison, DDS's NPI number?

Kim S. Davison, DDS's National Provider Identifier (NPI) is 1306044177, issued on Jul 3, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Kim S. Davison, DDS located?

The NPPES record lists a practice address at 1300 N Oakland Ave, Bolivar, MO, 65613. Phone: (417) 326-2244. Providers update this record themselves, so call before visiting.

How can I verify Kim S. Davison, DDS's license?

NPPES lists Missouri license number 011222, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.