DR. DEREK THOMAS MARKS (NPI# 1033318068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033318068 |
| Entity Type | Individual |
| Full Name | DR. DEREK THOMAS MARKS |
| Credential | DDS |
| Practice Address |
3310 Highway 5 North Bryant AR 72022 |
| Practice Telephone | 5018477070 |
| Mailing Telephone | 5018477070 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2015-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3619 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 164860608 | 05 |
| Street Address |
3310 HIGHWAY 5 NORTH |
| City | BRYANT |
| State | AR |
| Zip Code | 72022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265620603 | Rita Alvares Ribeiro | Dentist | 3310 Highway 5 North, Bryant, AR 72022 | 2007-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608868 | Lindsay Paige Macphee | Behavior Technician | 22461-i-30 Frontage Road, Bryant, AR 72022 | 2020-10-29 |
| 1952913469 | Kaleigh Angleton | Pharmacist | 5500 Ar-5, Bryant, AR 72022 | 2020-08-18 |
| 1851937254 | Lonnell O Seamster Sr. | Nurse Practitioner | 501 Woody Drive, Alexander, AR 72022 | 2019-11-20 |
| 1366098998 | Hannah Marie London | Occupational Therapist | 350 School Drive, Bryant, AR 72022 | 2019-08-09 |
| 1356996987 | Micah Self | Occupational Therapy Assistant | 200 Nw 4th Street, Bryant, AR 72022 | 2019-08-09 |
| 1114437548 | Samantha Lee Davis | Behavioral Analyst | 22461 I-30 Frontage Rd, 1100b, Bryant, AR 72022 | 2017-10-12 |
| 1164962171 | Healthcare Express, LLP | Clinic/Center | 23150 I-30 N, Bryant, AR 72022 | 2017-02-24 |
| 1205283223 | V & S Xpress LLC | Non-emergency Medical Transport (VAN) | 719 Sedgefield, Bryant, AR 72022 | 2016-05-19 |
| 1467877969 | Arkansas Maxillofacial Surgery Center | Dentist | 411 Office Park Dr, Bryant, AR 72022 | 2014-02-20 |
| 1558614511 | Melissa Robertson | Audiologist | 501 Jack Stephens Dr #547-05, Little Rock, AR 72022 | 2012-10-16 |
| Find all providers in zip 72022 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740508217 | Sarah Norris Farmer | Dentist | 3310 Hwy 5 N, Bryant, AR 72019-9031 | 2010-05-09 |
| 1760648174 | James L Bevans Pediatric Dentistry Pa | Dentist | 7409 Alcoa Road, Suite 5, Bryant, AR 72022 | 2008-08-05 |
| 1235188012 | Blake Chandler | Dentist | 7409 Alcoa Rd Ste 5, Bryant, AR 72022-6216 | 2006-05-09 |
| 1124519350 | Thomas Driskill Jenkins | Dentist | 3310 Hwy 5 N, Bryant, AR 72019-9031 | 2018-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669098208 | Dr. Joseph M. Mazurek, Inc | Dentist | 6500 Baseline Rd, Little Rock, AR 72209-4732 | 2020-06-19 |
| 1508334400 | Smile Shoppe Fayetteville Jeffrey D. Rhodes Dds Ms Pllc | Dentist | 3484 W Wedington Dr, Fayetteville, AR 72704-5730 | 2018-11-08 |
| 1609234269 | Bethel Burris Oliver | Dentist | 2713 W Kings Highway, Paragould, AR 72450 | 2016-02-10 |
| 1114339926 | Amanda Hankins | Dentist | 5518 W Walsh Ln, Rogers, AR 72758-8947 | 2014-05-28 |
| 1881018786 | My Village Smiles, Pllc | Dentist | 1104 Poplar Pl, Rogers, AR 72756-4249 | 2014-02-12 |
| 1689974362 | Karen Anne Green | Dentist | 1607 E Rainforest Rd, Fayetteville, AR 72703 | 2010-10-27 |
| 1720242167 | Summer Barker Tyson | Dentist | 620 Southwest Dr, Jonesboro, AR 72401-5859 | 2008-07-15 |
| 1225211196 | John Michael Burrows | Dentist | 303 Bancario, Ste 11-12, Marion, AR 72364-2825 | 2007-12-13 |
| 1922292531 | Pediatric Dentistry of Eastern Arkansas | Dentist | 4941 N Washington Hwy 1, Forrest City, AR 72335-3022 | 2007-08-28 |
| 1386849362 | Cara Janique Jones | Dentist | 5905 W 12th St, Little Rock, AR 72204-1608 | 2007-06-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. DEREK THOMAS MARKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.