DR. CASEY DOMINGUEZ (NPI# 1336631084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336631084 |
Entity Type | Individual |
Full Name | DR. CASEY DOMINGUEZ |
Credential | DDS |
Practice Address |
3920 W Walnut St Rogers AR 72756-1809 |
Mailing Address |
6515 W Pleasant Way Rogers AR 72758-8427 |
Practice Telephone | 8859935543 |
Mailing Telephone | 9724159308 |
Enumeration Date | 2018-05-30 |
Last Update Date | 2018-05-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
4269 | AR | Dental Providers |
Street Address |
3920 W WALNUT ST |
City | ROGERS |
State | AR |
Zip Code | 72756-1809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
1669009049 | Keller Davis Sims | Physical Therapist | 2403 W Hudson Rd Ste, Ste 1, Rogers, AR 72756 | 2020-03-25 |
1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
1629404868 | Natalie Elizabeth Myers | Occupational Therapy Assistant | 1000 West Poplar St, Rogers, AR 72756 | 2013-09-19 |
1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
1538420286 | Allison R Corter | Speech-Language Pathologist | 1000 W. Poplar St, Rogers, AR 72756 | 2012-05-30 |
1871859496 | Fisher Denture & Dental Care | Dentist | 4404 W. Walnut, Suite 2, Rogers, AR 72756 | 2012-04-09 |
1407130487 | Timeni Strauss | Occupational Therapy Assistant | 1000 W. Poplar Street, Rogers, AR 72756 | 2011-10-07 |
1316192768 | William Barton Tate | Obstetrics & Gynecology | 1233 Poplar Pl, Rogers, AR 72756 | 2008-11-27 |
1093905069 | Sunshine School & Development Center | Day Training, Developmentally Disabled Services | 3400 Woods Lanee, Rogers, AR 72756 | 2007-07-26 |
Find all providers in zip 72756 |
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 |
---|---|---|---|---|
1043826944 | Atlas Dental Partners Pllc | Dentist | 3903 W Financial Pkwy, Rogers, AR 72758-1471 | 2020-09-17 |
1144848490 | Abbey Lynn Norwood | Dentist | 5501 W Pinnacle Pointe Dr Ste 1, Rogers, AR 72758-8133 | 2020-07-13 |
1669035770 | River Dental Rogers South, Pllc | Dentist | 2603 W Pleasant Grove Rd Ste 111, Rogers, AR 72758-8514 | 2019-04-16 |
1699266338 | James Tristan Ray Hudson | Dentist | 513 S Dodson Rd Apt Q4, Rogers, AR 72758-7318 | 2018-05-29 |
1841610706 | Dental Health Associates of Arkansas, P.a. | Dentist | 2886 W Walnut St, Rogers, AR 72756-0335 | 2014-04-18 |
1962827857 | M. Trent Gubler, Dds, PC | Dentist | 805 N 20th Pl Ste 2, Rogers, AR 72756-3571 | 2014-02-28 |
1871859496 | Fisher Denture & Dental Care | Dentist | 4404 W. Walnut, Suite 2, Rogers, AR 72756 | 2012-04-09 |
1164734182 | Heather V Adams | Dentist | 4805 W Highland Knolls Rd Ste 300, Rogers, AR 72758-7027 | 2010-07-07 |
1952538159 | Laura L Bonner | Dentist | 402 S Metro Pkwy, Rogers, AR 72758-8530 | 2009-06-15 |
1801056999 | Christopher M Fergus | Dentist | 2109 S 54th St, Suite 1, Rogers, AR 72758-8169 | 2008-06-11 |
Find all providers in ROGERS |
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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.