WEST MEMPHIS PEDIATRIC DENTISTRY (NPI# 1154863637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154863637 |
| Entity Type | Organization |
| Organization Name | WEST MEMPHIS PEDIATRIC DENTISTRY |
| Practice Address |
303 Bancario Ste 11-12 Marion AR 72364-2825 |
| Mailing Address |
316 W Tyler Ave West Memphis AR 72301-4225 |
| Practice Telephone | 8707392992 |
| Practice Fax Number | 8707398597 |
| Mailing Telephone | 8707355439 |
| Mailing Fax Number | 8707398597 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |
| Authorized Official Name | DR. JOHN MICHAEL BURROWS (OWNER) |
| Authorized Official Telephone | 8707392992 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
3647 | AR | Ambulatory Health Care Facilities |
| Street Address |
303 BANCARIO STE 11-12 |
| City | MARION |
| State | AR |
| Zip Code | 72364-2825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
| 1083235998 | Lorenzo Soto | Specialist/Technologist | 444 Dogwood Cove, Marion, AR 72364 | 2020-05-01 |
| 1225663073 | Martha Hall | Technician | 144 Morningside Drive, Marion, AR 72364 | 2020-03-11 |
| 1073159984 | Angela Hamill | Nurse Practitioner | 924 Ar 77, Marion, AR 72364 | 2019-11-26 |
| 1346761251 | Ashlyn Brook Williams | Nurse Practitioner | 136 Block Street, Marion, AR 72364 | 2017-06-30 |
| 1447622873 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2100 Highway 77, Marion, AR 72364 | 2015-10-26 |
| 1366828378 | Hilary Hartwig | Nurse Practitioner | 1139 Hwy 77, Marion, AR 72364 | 2015-08-03 |
| 1730575077 | Roadmaps To Recovery Counseling Services of Midsouth | Community/Behavioral Health | 162 W Military Road, Marion, AR 72364 | 2015-04-14 |
| 1144661141 | Heather Chapman | Physical Therapy Assistant | 2860 I 55 Service Rd Ste C, Marion, AR 72364 | 2013-07-08 |
| 1679919351 | Gladys Hampton | Counselor | 1227 Highway 77, Suite 2, Marion, AR 72364 | 2013-05-21 |
| Find all providers in zip 72364 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628423 | All Hands Dentistry Pllc | Clinic/Center | 140 Wareham Rd, Marion, MA 02738-1167 | 2020-01-10 |
| 1235784992 | E. Joseph Lenz Dds PC Family Dentistry | Clinic/Center | 890 7th Ave, Marion, IA 52302-5747 | 2019-08-08 |
| 1568904878 | Kiddo Smiles Dental | Clinic/Center | 1132 Independence Ave, Marion, OH 43302-6318 | 2016-11-17 |
| 1326490160 | Reusser and Reusser, LLC | Clinic/Center | 1015 Melvin St, Marion, KS 66861-1235 | 2016-07-05 |
| 1457716870 | Wayne Cook Dentisrty LLC | Clinic/Center | 303 Bancario Ste 7, Marion, AR 72364-2826 | 2015-12-30 |
| 1861874430 | Health Care Partners of South Carolina, Inc. | Clinic/Center | 145 Palmetto Pointe Dr, Marion, SC 29571-6721 | 2015-06-19 |
| 1588979231 | Coastal Orthodontics, PC | Clinic/Center | 1 Rebecca Dr, Marion, MA 02738-1296 | 2010-08-18 |
| 1619521903 | Meng Tong Dds LLC | Clinic/Center | 1240 Crescent Heights Rd, Marion, OH 43302-6408 | 2019-07-25 |
| 1689238248 | Royal Oak Family Dentistry, Pllc | Clinic/Center | 937 N Main St, Marion, VA 24354-4117 | 2019-04-29 |
| 1861991267 | Marion Dental Associates Sandu LLC | Clinic/Center | 1241 E Center St, Marion, OH 43302-4446 | 2018-02-12 |
| Find all providers in MARION | ||||
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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.