HIGGINBOTHAM DENTAL GROUP, PLLC (NPI# 1205211976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205211976 |
| Entity Type | Organization |
| Organization Name | HIGGINBOTHAM DENTAL GROUP, PLLC |
| Practice Address |
1804 Old Greensboro Rd Ste D Jonesboro AR 72405-2076 |
| Mailing Address |
1804 Old Greensboro Rd Bldg B Jonesboro AR 72405-0003 |
| Practice Telephone | 8703331352 |
| Practice Fax Number | 8703363810 |
| Mailing Telephone | 8703363732 |
| Mailing Fax Number | 8703363810 |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | MISTI ROSS (INSURANCE DIRECTOR) |
| Authorized Official Telephone | 8703363732 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457717381 | Higginbotham Dental Group, Pllc | Dentist | 113 Harbor Town Sq, Suite 203, Memphis, TN 38103-8890 | 2016-01-07 |
| 1770848681 | Higginbotham Dental Group, Pllc | Dentist | 255 W Broadway St, West Memphis, AR 72301-3903 | 2012-07-06 |
| 1912274630 | Higginbotham Dental Group, Pllc | Dentist | 2200 W Kingshighway, Paragould, AR 72450-3917 | 2011-11-23 |
| 1124263579 | Higginbotham Dental Group, Pllc | Dentist | 321 Southwest Dr, Jonesboro, AR 72401-5854 | 2008-12-12 |
| 1710005384 | Higginbotham Dental Group, Pllc | Dentist | 3922 E Main St Ste D, Blytheville, AR 72315-6813 | 2007-03-26 |
| 1902392202 | Higginbotham Dental Group, Pllc | Dentist | 14810 Cantrell Rd Ste 150, Little Rock, AR 72223-4681 | 2018-07-10 |
| 1366797953 | Higginbotham Dental Group, Pllc | Dentist | 103 1st St, Kennett, MO 63857-2051 | 2012-07-19 |
| Street Address |
1804 OLD GREENSBORO RD STE D |
| City | JONESBORO |
| State | AR |
| Zip Code | 72405-2076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023554 | Christopher Marshall | Dentist | 1804 Old Greensboro Rd Bldg B, Jonesboro, AR 72405-0003 | 2020-08-10 |
| 1346841756 | Hannah Beth Johnston | Occupational Therapy Assistant | 970 County Road 753, Jonesboro, AR 72405-0232 | 2020-11-03 |
| 1275168213 | Blaine Carson | Optometrist | 3705 E Johnson Ave, Jonesboro, AR 72405-1858 | 2020-03-10 |
| 1669006359 | Megan Maureen Anderson | Nurse Practitioner | 2712 E Johnson Ave, Jonesboro, AR 72405-1874 | 2020-03-03 |
| 1922539915 | Whitney Taylor | Registered Nurse | 2712 E Johnson Ave, Jonesboro, AR 72405-1874 | 2017-03-22 |
| 1265087092 | Richardson Anesthesia Pllc | Anesthesiology | 320 County Road 794, Jonesboro, AR 72405-7087 | 2019-08-08 |
| 1194346304 | Toni Cecil | Student in an Organized Health Care Education/Training Program | 4505 Mockernut Ln, Jonesboro, AR 72405-7848 | 2020-04-28 |
| 1992306534 | Haley Elizabeth Ballard | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-11-02 |
| 1457967986 | Ana-liese Torres | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-09-21 |
| 1669084380 | Chaney Elise Weaver | Social Worker | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-08-24 |
| Find all providers in zip 72405 | ||||
| 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 |
|---|---|---|---|---|
| 1063023554 | Christopher Marshall | Dentist | 1804 Old Greensboro Rd Bldg B, Jonesboro, AR 72405-0003 | 2020-08-10 |
| 1255859831 | Southern Dental of Hilltop Pllc | Dentist | 2000 Fielder Drive, Jonesboro, AR 72401 | 2017-09-05 |
| 1689103038 | Creighton Deshawn Powell | Dentist | 1699 Stadium Blvd Suite I, Jonesboro, AR 72401 | 2017-06-08 |
| 1972039220 | Steven Andrew Robinson | Dentist | 2007 E Nettleton Ave Ste C, Jonesboro, AR 72401 | 2017-05-05 |
| 1376904953 | Southern Dental of Jonesboro, Pllc | Dentist | 2500 Browns Ln Ste A, Jonesboro, AR 72401-6107 | 2016-03-10 |
| 1306275474 | A.y. Dental Health, Inc | Dentist | 772 North Ave, Jonesboro, GA 30236-2226 | 2013-11-08 |
| 1053637637 | Gairhan Dental Care, Pllc | Dentist | 460 Southwest Dr Ste B, Jonesboro, AR 72401-5855 | 2010-04-08 |
| 1538494240 | Candace R Thomas | Dentist | 236 Stockbridge Rd Ste A, Jonesboro, GA 30236-3629 | 2009-10-14 |
| 1841428117 | Emily Gairhan | Dentist | 3113 Annadale Cv., Jonesboro, AR 72404-9515 | 2009-06-25 |
| 1144461773 | Tyrer Dentistry, Pa | Dentist | 2603 Brown's Lane, Jonesboro, AR 72401 | 2009-03-11 |
| Find all providers in JONESBORO | ||||
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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.