DR. JONATHAN KENNETH RAKSTANG (NPI# 1366772287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366772287 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN KENNETH RAKSTANG |
| Credential | DDS |
| Practice Address |
4400 Rogers Ave Suite C Fort Smith AR 72903-3145 |
| Practice Telephone | 3036698175 |
| Mailing Telephone | 3036698175 |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2009-12-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3740 | AR | Dental Providers |
| N | 122300000X | Dentist | 8923 | CO | Dental Providers |
| Street Address |
4400 ROGERS AVE SUITE C |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-3145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| 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 |
|---|---|---|---|---|
| 1174141667 | Anslee Latourette | Dentist | 8239 Rogers Ave, Fort Smith, AR 72903-5553 | 2020-07-10 |
| 1497378137 | Evgeny Titov | Dentist | 2501 Market Trce Ste A, Fort Smith, AR 72908-8881 | 2020-05-28 |
| 1891220596 | Alex Fitzhugh | Dentist | 10110 Stephens Ct, Fort Smith, AR 72908-9339 | 2017-05-01 |
| 1326490426 | Loren B Stringfellow IIi | Dentist | 9009 Canterbury Cv, Fort Smith, AR 72903-4348 | 2016-07-13 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| 1689085730 | River Valley Mobile Dental Clinic | Dentist | 3600 Old Greenwood Rd Ste 2, Fort Smith, AR 72903-5930 | 2014-05-12 |
| 1285073635 | Isaac Tuan Le | Dentist | 520 So. 14th Street, Fort Smith Dentistry, Fort Smith, AR 72901 | 2013-06-19 |
| 1205270360 | Mitchell R. Harper | Dentist | 5422 Euper Ln, Fort Smith, AR 72903-3232 | 2013-04-19 |
| 1881950723 | Margaret J Thiele | Dentist | 3501 South Gary, Fort Smith, AR 72903 | 2012-04-04 |
| 1306063391 | Robert C. Goldtrap,dds,inc | Dentist | 8309 Phoenix Avenue, Fort Smith, AR 72903-0001 | 2007-04-19 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
Please comment or provide details below to improve the information on DR. JONATHAN KENNETH RAKSTANG.
| 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.