DENTAL HEALTH ASSOCIATES OF ARKANSAS, P.A. (NPI# 1265852131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265852131 |
| Entity Type | Organization |
| Organization Name | DENTAL HEALTH ASSOCIATES OF ARKANSAS, P.A. |
| Other Organization Name | MYDENTIST-VAN BUREN |
| Practice Address |
1621 Fayetteville Rd Van Buren AR 72956-2230 |
| Practice Telephone | 4792622038 |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2015-11-05 |
| Authorized Official Name | KENDRA WALKER (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175408312 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL HEALTH ASSOCIATES OF ARKANSAS, P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| MyDentist-Van Buren | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295155158 | Dental Health Associates of Arkansas, P.a. | Dentist | 230 N Elmira Ave, Russellville, AR 72802-9617 | 2014-04-18 |
| 1841610706 | Dental Health Associates of Arkansas, P.a. | Dentist | 2886 W Walnut St, Rogers, AR 72756-0335 | 2014-04-18 |
| 1942620810 | Dental Health Associates of Arkansas, P.a. | Dentist | 3617 W Sunset Ave, Springdale, AR 72762-4955 | 2014-04-18 |
| 1134549132 | Dental Health Associates of Arkansas, P.a. | Dentist | 2868 W Martin Luther King Blvd, Fayetteville, AR 72704-7625 | 2014-04-17 |
| 1760802763 | Dental Health Associates of Arkansas, P.a. | Dentist | 6323 Rogers Ave, Fort Smith, AR 72903-3945 | 2014-04-17 |
| Street Address |
1621 FAYETTEVILLE RD |
| City | VAN BUREN |
| State | AR |
| Zip Code | 72956-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750432886 | Christopher Larson | Dentist | 1621 Fayetteville Rd, Van Buren, AR 72956-2230 | 2007-01-16 |
| 1205313889 | Dylan Christopher Reed | Dentist | 1621 Fayetteville Rd, Van Buren, AR 72956-2230 | 2018-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092597 | Fort Smith Regional Dialysis Center, LLC | Clinic/Center | 256 Northridge Drive E, Van Buren, AR 72956 | 2020-08-06 |
| 1831678507 | Baptist Health Services | Family Medicine | 209 Pointer Trl W Ste A, Van Buren, AR 72956 | 2018-08-13 |
| 1235618992 | Baptist Health Services | Pediatrics | 209 Pointer Trl W Ste B, Van Buren, AR 72956 | 2018-08-13 |
| 1225517030 | Baptist Heath Services | Family Medicine | 14 Gothic Ridge Rd Ste B, Van Buren, AR 72956 | 2018-08-13 |
| 1255810206 | Baptist Health Services | Family Medicine | 14 Gothic Ridge Rd Ste A, Van Buren, AR 72956 | 2018-08-10 |
| 1407371339 | Allison Frazier | Speech-Language Pathologist | 2221 Pointer Trail East, Van Buren, AR 72956 | 2017-08-11 |
| 1225443104 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2015 Fayetteville Road, Van Buren, AR 72956 | 2014-06-30 |
| 1629326210 | Natalie N. Fink | Speech-Language Pathologist | 1109 Fayetteville Rd., Van Buren, AR 72956 | 2012-08-29 |
| 1538490271 | Ronald Joel Yukon | Chiropractor | 2731 Rudy Road, Van Buren, AR 72956 | 2010-01-20 |
| 1568799864 | Fritzie Suggs | Occupational Therapist | 2233 Alma Hwy, Suite C, Van Buren, AR 72956 | 2009-11-06 |
| Find all providers in zip 72956 | ||||
| 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 |
|---|---|---|---|---|
| 1568986511 | Hurst Family Dental Care, Pllc | Dentist | 1205 E Pointer Trl, Van Buren, AR 72956-2317 | 2017-08-01 |
| 1396196234 | Pryor Family Dental, LLC | Dentist | 511 W Elsie St, Van Buren, MO 63965 | 2016-06-22 |
| 1902160302 | Christina Ann Pryor | Dentist | 511 West Elsie Street, Van Buren, MO 63965 | 2012-06-29 |
| 1831257245 | Philip Morton | Dentist | 617 Fayetteville Rd, Van Buren, AR 72956-3418 | 2006-12-05 |
| 1568577740 | Gary Guy Tuttle | Dentist | 511 West Elsie St., Van Buren, MO 63965 | 2006-08-20 |
| 1376108571 | Nicholas Edward Baioni | Dentist | 1306 Main St, Van Buren, AR 72956-4557 | 2019-05-03 |
| 1205313889 | Dylan Christopher Reed | Dentist | 1621 Fayetteville Rd, Van Buren, AR 72956-2230 | 2018-07-25 |
| 1447671862 | Nick Grote Family Dental Pa | Dentist | 611 Jefferson St, Van Buren, AR 72956-5159 | 2014-01-02 |
| 1013250984 | Bethel Burris Oliver Pllc | Dentist | 2411 Fayetteville Rd, Suite 42, Van Buren, AR 72956-6520 | 2013-03-29 |
| 1396803722 | Philip S. Morton Family Dentistry, Inc. | Dentist | 617 Fayetteville Rd, Van Buren, AR 72956-3418 | 2006-12-05 |
| Find all providers in VAN BUREN | ||||
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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.