CHARLES J. ANTONINI, DDS, MS (NPI# 1225134828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225134828 |
| Entity Type | Organization |
| Organization Name | CHARLES J. ANTONINI, DDS, MS |
| Practice Address |
200 Mcauley Ct Hot Springs AR 71913-6312 |
| Practice Telephone | 5016204677 |
| Mailing Telephone | 5016204677 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHARLES JUBIN ANTONINI (PRESIDENT/OWNER) |
| Authorized Official Telephone | 5016204677 |
| Authorized Official Credential | DDS,MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
3158 | AR | Dental Providers |
| Street Address |
200 MCAULEY CT |
| City | HOT SPRINGS |
| State | AR |
| Zip Code | 71913-6312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841510302 | Daron Praetzel Dmd Pa | Specialist | 200 Mcauley Ct, Hot Springs, AR 71913-6312 | 2010-06-08 |
| 1205078144 | Melissa Catherine Qualls | Nurse Practitioner | 200 Mcauley Ct, Hot Springs, AR 71913-6312 | 2009-03-24 |
| 1427262161 | Aaron Baldwin | Dentist | 200 Mcauley Ct, Hot Springs, AR 71913-6312 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548722028 | Stephen L Bodemann M.d. Ltd | Internal Medicine | 1636 Higdon Ferry Road, Hot Springs, AR 71913 | 2019-04-03 |
| 1164986600 | Whitley Bryant | Behavior Technician | 219 Rockwell St, Hot Springs, AR 71913 | 2019-01-29 |
| 1841760436 | Lauren Danielle Bolding | Occupational Therapist | 4328 Central Ave Suite M, Hot Springs, AR 71913 | 2018-11-27 |
| 1164906673 | Rebecca Lynne Cleveland | Occupational Therapy Assistant | 181 Cornerstone, Hot Springs, AR 71913 | 2018-09-20 |
| 1689160293 | American Oncology Partners, P.a. | Internal Medicine | 1455 Higdon Ferry Rd Ste B, Hot Springs, AR 71913 | 2018-07-06 |
| 1932694692 | Healthstar Physicians of Hot Springs, Pllc | Radiology | 120 Adcock Rd Ste B, Hot Springs, AR 71913 | 2018-06-26 |
| 1043708001 | Statco-palmer, Inc | Audiologist | 4501 Central Avenue, Suite 174, C-6, Hot Springs, AR 71913 | 2018-04-25 |
| 1083133532 | Laken Nicolle Baldwin | Physical Therapist | 1635 Higdon Ferry Road, Ste G, Hot Springs, AR 71913 | 2017-09-15 |
| 1316463730 | Arkansas Home Care Assistance, LLC | In Home Supportive Care | 3955 Central Ave Ste 4, Hot Springs National Park, AR 71913 | 2017-08-17 |
| 1336675701 | Joni Westbrook | Case Manager/Care Coordinator | 154 Cornerstone, Hot Springs, AR 71913 | 2017-05-04 |
| Find all providers in zip 71913 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295730562 | D. Ross Atkinson | Dentist | 2633 Malvern Ave, Hot Springs, AR 71901-8176 | 2005-06-14 |
| 1740352012 | D. Ross Atkinson, Dds, Ms | Dentist | 2633 Malvern Ave, Hot Springs, AR 71901-8176 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154793982 | White & Blansett Periodontics & Dental Implants | Dentist | 201 N 34th St, Rogers, AR 72756-0352 | 2015-10-20 |
| 1790819233 | Ronald Howell Follis | Dentist | 800 W B St, Russellville, AR 72801-3610 | 2007-03-15 |
| 1295862357 | Jerry E. Bradley | Dentist | 1225 Breckenridge Drive, Suite 110, Little Rock, AR 72205 | 2007-02-27 |
| 1407907165 | Peder J Jensen | Dentist | 2501 Crestwood Rd Ste 102, North Little Rock, AR 72116-7615 | 2007-01-16 |
| 1154496297 | Charles Adrian White | Dentist | 201 N 34th, Rogers, AR 72756 | 2006-11-22 |
| 1780772962 | Michael L. Thompson | Dentist | 2737 Paula Dr, Jonesboro, AR 72404-8017 | 2006-10-11 |
| 1497852495 | Michael Curry | Dentist | 1831 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2006-09-20 |
| 1497762090 | Harry Hoffman Morgan | Dentist | 3800 Rogers Ave Ste 3, Fort Smith, AR 72903-3074 | 2006-08-03 |
| 1336163542 | Donald Paul Callan | Dentist | 10319 W. Markham St., Suite 300, Little Rock, AR 72205-4556 | 2006-07-27 |
| 1689626269 | Stephen A Rappeport | Dentist | 304 N Greenwood Ave, Fort Smith, AR 72901-3454 | 2006-05-16 |
| Find all providers with the same taxonomy | ||||
| City | HOT SPRINGS |
| Zip Code | 71913 |
Please comment or provide details below to improve the information on CHARLES J. ANTONINI, DDS, MS.
| 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.