AUSTIN FAMILY DENTISTRY PA (NPI# 1255415956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255415956 |
| Entity Type | Organization |
| Organization Name | AUSTIN FAMILY DENTISTRY PA |
| Practice Address |
3201 Club Manor Suite A Maumelle AR 72113 |
| Practice Telephone | 5018513262 |
| Practice Fax Number | 5018513766 |
| Mailing Telephone | 5018513262 |
| Mailing Fax Number | 5018513766 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-05-06 |
| Authorized Official Name | DR. BRYAN A AUSTIN (OWNER PRES) |
| Authorized Official Telephone | 5018513262 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | AR3057 | AR | Dental Providers |
| Y | 122300000X | Dentist | AR3521 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UCCI DR CLINT FULKS | 1871870 | 01 | |
| AR | BCBS | 58662 | 01 |
| UCCI DR BRYAN A AUSTIN | 828326 | 01 |
| Street Address |
3201 CLUB MANOR SUITE A |
| City | MAUMELLE |
| State | AR |
| Zip Code | 72113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811329329 | Simona Ivan | Dentist | 3201 Club Manor, Suite A, Maumelle, AR 72113 | 2013-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104347814 | Shasta Dockery | Registered Nurse | 15020 Wade Blvd., North Little Rock, AR 72113 | 2017-07-03 |
| 1235669839 | Robert Mitchell Fisher | Specialist/Technologist | 134 Vienne Pl, Maumelle, AR 72113 | 2017-06-15 |
| 1932516887 | Healthcare Express, LLP | Clinic/Center | 11819 Maumelle Blvd., North Little Rock, AR 72113 | 2014-07-11 |
| 1184997991 | Preston Lewis | Speech-Language Pathologist | 14 Braeswood Place, Maumelle, AR 72113 | 2012-02-10 |
| 1740437813 | Jennifer L Franklin | Social Worker | 115 Audubon Dr Ste 9a, Maumelle, AR 72113 | 2008-08-20 |
| 1861655912 | Dawn Melton Mulkern | Dietitian, Registered | 12 Ninth Fairway Loop, Maumelle, AR 72113 | 2008-07-09 |
| 1902028723 | Robin Reynolds | Dietitian, Registered | 9300 White Oak Crossing, N Little Rock, AR 72113 | 2007-05-02 |
| 1316096498 | Caretech Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8010 Counts Massie Rd, Suite B, North Little Rock, AR 72113 | 2007-01-09 |
| 1548318470 | Supermarket Investors Inc | Pharmacy | 1117 Audubon Dr, Maumelle, AR 72113 | 2007-01-08 |
| 1821177353 | Maumelle Investments & Associates, LLC | Skilled Nursing Facility | 103 Alexandria Drive, Maumelle, AR 72113 | 2006-11-03 |
| Find all providers in zip 72113 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743352 | Varsha Patel | Dentist | 130 Harkrider St, Conway, AR 72032-6623 | 2020-09-04 |
| 1174132914 | John S Teed | Dentist | 800 Vista Cv, Marion, AR 72364-9704 | 2020-07-28 |
| 1891303509 | Brandt Thomas Cooper | Dentist | 1685 Airport Rd, Hot Springs, AR 71913-7951 | 2020-07-20 |
| 1174141667 | Anslee Latourette | Dentist | 8239 Rogers Ave, Fort Smith, AR 72903-5553 | 2020-07-10 |
| 1073139960 | Leona C. Kemper, Dds, Pa | Dentist | 6189 Heber Springs Rd West, Quitman, AR 72131 | 2020-06-17 |
| 1225652670 | David Barry Riggs | Dentist | 800 Locust Ave, Conway, AR 72034-5331 | 2020-06-02 |
| 1497378137 | Evgeny Titov | Dentist | 2501 Market Trce Ste A, Fort Smith, AR 72908-8881 | 2020-05-28 |
| 1306469382 | Phipps Family Dentistry | Dentist | 807 W Centerton Blvd, Centerton, AR 72719-9705 | 2020-05-25 |
| 1831711910 | Brian Lane D D S Pa | Dentist | 17 Eagle Park Dr, Vilonia, AR 72173-9050 | 2020-05-12 |
| 1215557897 | Wh Ar Dental Pllc | Dentist | 4870 Elm Springs Rd Ste B, Springdale, AR 72762-3749 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
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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.