BOLD DENTAL POTTSVILLE (NPI# 1164892352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164892352 |
| Entity Type | Organization |
| Organization Name | BOLD DENTAL POTTSVILLE |
| Practice Address |
7146 Sr 247 Pottsville AR 72858-8891 |
| Practice Telephone | 4798587382 |
| Mailing Telephone | 4798587382 |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |
| Authorized Official Name | WENDY PEDUTO (TRANSITION MANAGER) |
| Authorized Official Telephone | 5014360518 |
| Is Organization Subpart | Y |
| Parent Organization Name | BOLD DENTAL PARTNERS, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
AR | Dental Providers |
| Street Address |
7146 SR 247 |
| City | POTTSVILLE |
| State | AR |
| Zip Code | 72858-8891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568562809 | Garry D Hudson | Dentist | 7146 Sr 247, Pottsville, AR 72858-8891 | 2006-09-25 |
| 1174822001 | Hamilton Hugh Holdings, Pllc | Dentist | 7146 Sr 247, Pottsville, AR 72858-8891 | 2011-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992838023 | Samantha Jill Jones | Speech-Language Pathologist | 87 South B St, Pottsville, AR 72858 | 2007-03-14 |
| 1679685093 | Jessica Cherry Fincher | Occupational Therapist | 63 W Cedar St, Pottsville, AR 72858-8717 | 2006-08-31 |
| 1902964471 | Superintendent of Pottsville Schools | Local Education Agency (LEA) | 63 W Cedar St, Pottsville, AR 72858-8717 | 2006-12-05 |
| 1134422454 | Dana Aulgur | Speech-Language Pathologist | 87 South 'b' Street, Pottsville, AR 72858-8721 | 2010-12-08 |
| 1811485121 | Elite Endevors | Ambulance | 129 Marie Dr, Pottsville, AR 72858-8737 | 2018-04-23 |
| 1457578825 | Pottsville Schools | Local Education Agency (LEA) | 6926 Sr 247, Pottsville, AR 72858-8948 | 2007-04-19 |
| 1144343732 | Melissa Renee King | Speech-Language Pathologist | 2480 Hudson Rd, Pottsville, AR 72858-9094 | 2007-04-09 |
| 1720361892 | Clint Bell | Pharmacist | 5395 W Ash St, Ste 9, Pottsville, AR 72858-9170 | 2011-09-24 |
| 1811446206 | Conway Regional Medical Center Inc. | Family Medicine | 5395 W Ash St, Suite 2, Pottsville, AR 72858-9170 | 2016-09-26 |
| 1982958484 | Pottsville Pharmacy Inc | Pharmacy | 5395 W Ash St, Suite 9, Pottsville, AR 72858-9170 | 2012-11-05 |
| Find all providers in zip 72858 | ||||
| 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 |
|---|---|---|---|---|
| 1629289855 | R Jason Green | Dentist | 310 Mahantongo St, Pottsville, PA 17901-3013 | 2007-05-28 |
| 1679658629 | Luiza O Widawska | Dentist | 1349 W Market St, Pottsville, PA 17901-2282 | 2006-10-26 |
| 1649365230 | Scott H Fellows | Dentist | 2223 W End Ave, Pottsville, PA 17901-1825 | 2006-10-03 |
| 1871694554 | Anthony John Pacenta | Dentist | 1932 W Market St, Pottsville, PA 17901-2004 | 2006-09-26 |
| 1902866452 | Brian D Barket | Dentist | 620 W Market St, Pottsville, PA 17901-2868 | 2006-03-27 |
| 1700858966 | Brenda Ann Jenkins | Dentist | 1447 W Market St, Pottsville, PA 17901-2208 | 2006-02-02 |
| 1750383238 | Earl L. Waters Jr. | Dentist | 727 E Norwegian St, Pottsville, PA 17901-2709 | 2005-08-13 |
| 1366831547 | Anderson Dental Associates PC | Dentist | 315 W Market St, Pottsville, PA 17901-4066 | 2015-01-12 |
| 1174822001 | Hamilton Hugh Holdings, Pllc | Dentist | 7146 Sr 247, Pottsville, AR 72858-8891 | 2011-03-17 |
| 1801100359 | Janet Anderson | Dentist | 315 W Market St, Pottsville, PA 17901-4066 | 2010-07-27 |
| Find all providers in POTTSVILLE | ||||
| City | POTTSVILLE |
| Zip Code | 72858 |
Please comment or provide details below to improve the information on BOLD DENTAL POTTSVILLE.
| 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.