ORAL & FACIAL SURGERY CENTER (NPI# 1033515085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033515085 |
| Entity Type | Organization |
| Organization Name | ORAL & FACIAL SURGERY CENTER |
| Other Organization Name | ARKANSAS ORAL & FACIAL SURGERY CENTER |
| Practice Address |
3996 N Frontage Rd Fayetteville AR 72703-5122 |
| Mailing Address |
2926 W Huntsville Ave Springdale AR 72762-7726 |
| Practice Telephone | 4795823000 |
| Practice Fax Number | 4795822840 |
| Mailing Telephone | 4795823000 |
| Mailing Fax Number | 4797171047 |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2019-12-11 |
| Authorized Official Name | DR. SCOTTY L BOLDING (OWNER) |
| Authorized Official Telephone | 4795823000 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Arkansas Oral & Facial Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336340470 | Oral & Facial Surgery Center | Dentist | 4765 S Congress Ave, Lake Worth, FL 33461-4700 | 2007-05-29 |
| 1730548397 | Oral & Facial Surgery Center | Dentist | 938 University Park Blvd, Ste 100, Clearfield, UT 84015-6283 | 2016-02-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ORAL & FACIAL SURGERY CENTER | 7932 W Sand Lake Rd Ste 109, Orlando, FL 32819-7299 |
| Street Address |
3996 N FRONTAGE RD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-5122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326345323 | Patton Mark Minkin | Dentist | 3996 N Frontage Rd, Fayetteville, AR 72703 | 2011-02-28 |
| 1972964195 | Brittany Howell Williams | Dentist | 3996 N Frontage Rd, Fayetteville, AR 72703-5122 | 2016-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689031023 | Thomas A. Sarna Dds,pllc | Dentist | 3533 North Shiloh Drive Suite 3, Fayetteville, AR 72703 | 2016-01-15 |
| 1518232727 | Matthew Mcshane | Dentist | 163 Van Ashe Loop, Fayetteville, AR 72703 | 2012-03-21 |
| 1326345323 | Patton Mark Minkin | Dentist | 3996 N Frontage Rd, Fayetteville, AR 72703 | 2011-02-28 |
| 1568693877 | Jeffrey E Aycock | Dentist | 1031 Weiss Ave Ste 201, Fayetteville, NC 28305-5630 | 2009-08-04 |
| 1144342007 | Sylvester Own Smith IIi | Dentist | 1417 Fort Bragg Road, Fayetteville, NC 28305-4707 | 2007-04-04 |
| 1881710945 | Joshua Russell Cross | Dentist | 163 W Van Asche Loop, Fayetteville, AR 72703-4974 | 2007-03-21 |
| 1083772438 | Richard Clayton Adams | Dentist | 413 Owens Drive, Suite 102, Fayetteville, NC 28304 | 2006-12-05 |
| 1518037076 | James Buck Hays | Dentist | 2025 N Green Acres Rd, Fayetteville, AR 72703-2619 | 2006-11-09 |
| 1114006020 | Kenneth Ray Collins Jr. | Dentist | 100 Carnegie Pl, Suite 108, Fayetteville, GA 30214-3905 | 2006-11-02 |
| 1275618019 | Vitkus and Scutari Dds, PC | Dentist | 516 E Genesee St, Fayetteville, NY 13066-1537 | 2006-10-26 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on ORAL & FACIAL SURGERY CENTER.
| 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.