AR PERIODONTAL & IMPLANT ASSOC (NPI# 1346643699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346643699 |
| Entity Type | Organization |
| Organization Name | AR PERIODONTAL & IMPLANT ASSOC |
| Practice Address |
1405 Mccoy Dr Harrison AR 72601-2417 |
| Mailing Address |
2001 N Green Acres Rd Fayetteville AR 72703-2619 |
| Practice Telephone | 4795216400 |
| Practice Fax Number | 4795210164 |
| Mailing Telephone | 4795216400 |
| Mailing Fax Number | 4795210164 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-09 |
| Authorized Official Name | MRS. CINDY KAY RABEN (OFFICE MANAGER) |
| Authorized Official Telephone | 4795216400 |
| Is Organization Subpart | Y |
| Parent Organization Name | AR PERIODONTAL & IMPLANT ASSOC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3262 | AR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881096519 | Ar Periodontal & Implant Assoc | Dentist | 2001 N Green Acres Rd, Fayetteville, AR 72703-2619 | 2014-09-25 |
| Street Address |
1405 MCCOY DR |
| City | HARRISON |
| State | AR |
| Zip Code | 72601-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538465992 | Ozarks Orthodontics Pllc | Dentist | 1405 Mccoy Dr, Harrison, AR 72601-2417 | 2011-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
| 1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| Find all providers in zip 72601 | ||||
| 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 |
|---|---|---|---|---|
| 1366708752 | Harrison Familt Dentist Pa | Dentist | 300 Harrison Ave, Harrison, NJ 07029 | 2012-04-10 |
| 1396061743 | Victoria Anne Hultman | Dentist | 115 Halstead Ave, Harrison, NY 10528-4159 | 2010-04-09 |
| 1336376847 | Annakate Milburn Tatum | Dentist | 825 N Main St Ste 6, Harrison, AR 72601-2914 | 2009-06-11 |
| 1598918203 | Arthur Wooten Baldwin Jr. | Dentist | 7300 Creek Ridge Dr, Harrison, TN 37341-9453 | 2008-10-25 |
| 1669621405 | Lynn Keener, D.d.s., P.a. | Dentist | 2105 First National Dr, Harrison, AR 72601-6234 | 2008-09-17 |
| 1588824643 | Robert Hubbard | Dentist | 120 W Bower Ave, Harrison, AR 72601-3521 | 2008-06-12 |
| 1154598753 | Bill D. Marinakis | Dentist | 1194 Stone Dr, Harrison, OH 45030 | 2008-05-13 |
| 1174705214 | Heath Bryan Coleman, Dds of Arkansas II, Pllc | Dentist | 1313 Highway 62 and 65 North, Suite D, Harrison, AR 72022 | 2007-11-30 |
| 1629279385 | Nathan P Henderson | Dentist | 5707 Highway 58 Ste 103, Harrison, TN 37341-9525 | 2007-05-30 |
| 1447461702 | Elba Catalina Ventura | Dentist | 105a-107 Frank E Rodgers Blvd N, Harrison, NJ 07029 | 2007-05-25 |
| Find all providers in HARRISON | ||||
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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.