AXPM- HIGHLAND DENTAL PLLC (NPI# 1063957728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063957728 |
| Entity Type | Organization |
| Organization Name | AXPM- HIGHLAND DENTAL PLLC |
| Other Organization Name | ROCK FAMILY DENTAL-HIGHLAND |
| Practice Address |
1474 Highway 62 412 Highland AR 72542-9170 |
| Mailing Address |
Po Box 3450 Little Rock AR 72203-3450 |
| Practice Telephone | 5017812777 |
| Practice Fax Number | 5017812778 |
| Mailing Telephone | 5017812777 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |
| Authorized Official Name | MARK DAKE (OWNER) |
| Authorized Official Telephone | 5017812777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
AR | Dental Providers |
| Other Name | Type Code |
|---|---|
| Rock Family Dental-Highland | Doing Business As Name - Organization |
| Street Address |
1474 HIGHWAY 62 412 |
| City | HIGHLAND |
| State | AR |
| Zip Code | 72542-9170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801984216 | Matthew G Williams | Dentist | 1474 Highway 62 412, Highland, AR 72542-9170 | 2006-10-11 |
| 1417486887 | Christopher Williams | Dentist | 1474 Highway 62 412, Highland, AR 72542-9170 | 2017-06-08 |
| 1225242464 | Highland Family Dentistry, Inc. | Dentist | 1474 Highway 62 412, Highland, AR 72542-9170 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154978351 | Together: Individual and Family Focused Counseling, Pllc | Counselor | 3342 Highway 42 412, Hardy, AR 72542 | 2019-08-22 |
| 1952797979 | April Stacey | Day Training/Habilitation Specialist | 2012 Highway 62/412, Highland, AR 72542 | 2015-04-07 |
| 1760891519 | Chasity Johnson | Specialist/Technologist | 300 Boothe Rd, Hardy, AR 72542 | 2014-08-06 |
| 1346427093 | Benjamin Lee Cravens | Counselor | 2423 W Hwy 62/412, Hardy, AR 72542 | 2008-01-24 |
| 1689853665 | Glden Care Adult Day Health Care Inc. | Respite Care | 1508 B Hwy 62/412, Hardy, AR 72542 | 2007-10-26 |
| 1942404975 | Goldencare Adhc, Inc | Clinic/Center | 1508 B Hwy 62 412, Highland, AR 72542 | 2007-06-13 |
| 1710003769 | Karen Ann Schadler | Durable Medical Equipment & Medical Supplies | 3115 Hwy 62-412, Hardy, AR 72542 | 2007-03-21 |
| 1902956246 | Andrea Davis | Pharmacist | Hwy 62 412, Midway Plaza, Hardy, AR 72542 | 2007-01-11 |
| 1720138068 | Clifford Marsh Davis | Pharmacist | Hwy 62-412, Midway Plaza, Hardy, AR 72542 | 2007-01-11 |
| 1316026891 | Dan T Speir Od Pa | Optometrist | 1238 Hwy 62 412, Ste B, Hardy, AR 72542 | 2006-11-03 |
| Find all providers in zip 72542 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215547864 | Taylor Truncali | Dentist | 3671 Route 9w, Highland, NY 12528-2000 | 2020-08-07 |
| 1528689148 | Abude Dental Corporation | Dentist | 28895 Greenspot Rd # 103, Highland, CA 92346-5770 | 2020-05-05 |
| 1750928222 | Nicholas Clark Rowley | Dentist | 5455 W 11000 N Ste 202, Highland, UT 84003-8802 | 2019-12-04 |
| 1770067639 | Po-ting Chi | Dentist | 7442 Tuolumne Ln, Highland, CA 92346-7733 | 2018-09-17 |
| 1669950069 | Ouk Hyun Lee | Dentist | 2600 E Highland Ave, Highland, CA 92346-2179 | 2018-07-30 |
| 1043732753 | Alexandra Nani Onodera | Dentist | 7216 Palm Ave Ste B, Highland, CA 92346-3280 | 2017-07-13 |
| 1497196117 | Peter Obiajuru Abude | Dentist | 2266 Bradford Ave, Apt. # 114, Highland, CA 92346-2251 | 2013-07-10 |
| 1134566938 | Affordable Dental Care | Dentist | 2625 45th St, Highland, IN 46322-2902 | 2013-06-03 |
| 1306087689 | William Villano | Dentist | 27 North Rd, Highland, NY 12528-1016 | 2009-03-16 |
| 1427297316 | Bright Smile Dental Care | Dentist | 3681 Chevron Dr, Highland, MI 48356-1715 | 2009-02-17 |
| Find all providers in HIGHLAND | ||||
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| 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.