DENTAL HEALTH ASSOCIATES OF ARKANSAS, P.A. (NPI# 1134549132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134549132 |
| Entity Type | Organization |
| Organization Name | DENTAL HEALTH ASSOCIATES OF ARKANSAS, P.A. |
| Other Organization Name | DENTAL CARE OF FAYETTEVILLE |
| Practice Address |
2868 W Martin Luther King Blvd Fayetteville AR 72704-7625 |
| Practice Telephone | 4792498181 |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2016-09-02 |
| Authorized Official Name | HANNAH BEAR (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175405699 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL HEALTH ASSOCIATES OF ARKANSAS, P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Care of Fayetteville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295155158 | Dental Health Associates of Arkansas, P.a. | Dentist | 230 N Elmira Ave, Russellville, AR 72802-9617 | 2014-04-18 |
| 1841610706 | Dental Health Associates of Arkansas, P.a. | Dentist | 2886 W Walnut St, Rogers, AR 72756-0335 | 2014-04-18 |
| 1265852131 | Dental Health Associates of Arkansas, P.a. | Dentist | 1621 Fayetteville Rd, Van Buren, AR 72956-2230 | 2014-04-18 |
| 1942620810 | Dental Health Associates of Arkansas, P.a. | Dentist | 3617 W Sunset Ave, Springdale, AR 72762-4955 | 2014-04-18 |
| 1760802763 | Dental Health Associates of Arkansas, P.a. | Dentist | 6323 Rogers Ave, Fort Smith, AR 72903-3945 | 2014-04-17 |
| Street Address |
2868 W MARTIN LUTHER KING BLVD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72704-7625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982921920 | Justin White | Dentist | 2868 W Martin Luther King Blvd, Fayetteville, AR 72704-7625 | 2010-04-30 |
| 1528545258 | J Cole White Dds Pa | Clinic/Center | 2868 W Martin Luther King Blvd, Fayetteville, AR 72704-7625 | 2018-07-25 |
| 1497251201 | Soh of Arkansas William Wellford PC | Dentist | 2868 W Martin Luther King Blvd, Fayetteville, AR 72704-7625 | 2018-04-02 |
| 1811493828 | Soh of Arkansas William Wellford Porter PC | Dentist | 2868 W Martin Luther King Blvd, Fayetteville, AR 72704-7625 | 2018-03-30 |
| 1326580051 | William Porter | Dentist | 2868 W Martin Luther King Blvd, Fayetteville, AR 72704-7625 | 2016-11-11 |
| 1548610942 | Matthew Camp | Dentist | 2868 W Martin Luther King Blvd, Fayetteville, AR 72704-7625 | 2016-06-16 |
| 1003222506 | Scott Pickett | Dentist | 2868 W Martin Luther King Blvd, Fayetteville, AR 72704-7625 | 2014-07-03 |
| 1588952949 | Emily K Steininger | Dentist | 2868 W Martin Luther King Blvd, Fayetteville, AR 72704-7625 | 2011-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387037 | Anne-ashley Hull | Speech-Language Pathologist | 12905 Randolph Road, Fayetteville, AR 72704 | 2020-05-07 |
| 1427607019 | Destiny Bound, LLC | Midwife | 3825 N Salem Road, Fayetteville, AR 72704 | 2019-09-06 |
| 1043796881 | Travis Alexander | Physical Therapist | 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 | 2018-07-16 |
| 1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
| 1346744232 | Wedington Dental, Pllc | Clinic/Center | 3500 Black Forest Drvie, Ste 1, Fayetteville, AR 72704 | 2018-03-23 |
| 1528410487 | Sharon Byrd | Licensed Practical Nurse | 17836 Harmon Rd, Fayetteville, AR 72704 | 2016-07-05 |
| 1861823502 | Andrea Warren | Pharmacist | 2875 W Martin Luther King Jr Blvd, Fayetteville, AR 72704 | 2013-12-05 |
| 1609157726 | Jessica Rose Collier | Speech-Language Pathologist | 2020 E Joyce Ave., Suite 2, Fayetteville, AR 72704 | 2011-09-02 |
| 1194044941 | Wcnc, Inc. | Skilled Nursing Facility | 4405 Persimmon Street, Fayetteville, AR 72704 | 2010-05-19 |
| 1841512944 | Jill K Johnston | Speech-Language Pathologist | 3472 N Sandpiper Dr, Fayetteville, AR 72704 | 2010-02-17 |
| Find all providers in zip 72704 | ||||
| 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 |
|---|---|---|---|---|
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1972151439 | Ikenna K Okons | Dentist | 4200 Morganton Rd Ste 304, Fayetteville, NC 28314-1564 | 2019-08-28 |
| 1114488079 | Bianca Kristina Adams | Dentist | 207 Forest Creek Dr, Fayetteville, NC 28303-5496 | 2019-03-25 |
| 1194226506 | Michael E. Carter, Dds, Pllc | Dentist | 1874 N Hunters Rdg Ste 1, Fayetteville, AR 72701-2896 | 2018-02-22 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| 1548781107 | Christopher Heard | Dentist | 265 N Jeff Davis Dr Ste 1a, Fayetteville, GA 30214-1668 | 2017-07-03 |
| 1881123305 | Kenneth Boyd Lewis Jr. | Dentist | 4140 Ramsey St Ste 104, Fayetteville, NC 28311-7658 | 2017-06-08 |
| 1518496215 | Van Michael Mcqueen Jr. | Dentist | 640 N Garland Ave # 104, Fayetteville, AR 72701 | 2017-06-06 |
| 1710415229 | Alan Kuo | Dentist | 1400 Walter Reed Rd Ste 200, Fayetteville, NC 28304 | 2017-05-28 |
| 1508304866 | Karan G Mirchandani | Dentist | 4251 Ramsey St Ste 8, Fayetteville, NC 28311-2130 | 2017-02-07 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72704 |
Please comment or provide details below to improve the information on DENTAL HEALTH ASSOCIATES OF ARKANSAS, P.A..
| 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.