DR. KATHLEEN A WALL MARKS (NPI# 1447321708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447321708 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN A WALL MARKS |
| Credential | DDS |
| Practice Address |
3310 Highway 5 North Benton AR 72019 |
| Mailing Address |
3310 Hwy 5 North Benton AR 72019 |
| Practice Telephone | 5018477070 |
| Practice Fax Number | 5018479809 |
| Mailing Telephone | 5018477070 |
| Mailing Fax Number | 5018479809 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2015-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3605 | AR | Dental Providers |
| N | 122300000X | Dentist | 8399 | TN | Dental Providers |
| Street Address |
3310 HIGHWAY 5 NORTH |
| City | BENTON |
| State | AR |
| Zip Code | 72019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898293 | Arkansas Heart Hospital LLC | General Acute Care Hospital | 1901 Encore Way, Bryant, AR 72019 | 2020-10-16 |
| 1306485545 | Ryan Adams | Pharmacist | 20820 I-30 North, Benton, AR 72019 | 2020-01-06 |
| 1649819962 | Josh Landrum | Pharmacist | 20820 I 30 N, Benton, AR 72019 | 2020-01-03 |
| 1710525720 | Melanie Mabry | Nurse Practitioner | 11510 State Highway 298, Benton, AR 72019 | 2019-12-20 |
| 1578086864 | Ronald Winkler | Occupational Therapy Assistant | 2907 Hurricane Lake Rd, Bryant, AR 72019 | 2017-07-19 |
| 1801243357 | Richard Andrew Dwiggins | Social Worker | 1718 Old Hot Springs Highway, Benton, AR 72019 | 2016-05-14 |
| 1184008377 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 2080 I-30 North, Benton, AR 72019 | 2015-07-17 |
| 1689910051 | Rachel Cloud | Physical Therapist | 2010 Activeway, Benton, AR 72019 | 2012-12-12 |
| 1538444583 | Stacy Ann Harris | Specialist | 403 Demuth Lane, Benton, AR 72019 | 2011-10-20 |
| 1144528423 | Robert Mark Robinson | Licensed Practical Nurse | 5 Hickory Ridge Drive, Benton, AR 72019 | 2011-03-10 |
| Find all providers in zip 72019 | ||||
| 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 |
|---|---|---|---|---|
| 1396069878 | Lori Lynn Weaver | Dentist | 1037 Kelley, Benton, AR 72019-2216 | 2010-03-26 |
| 1861665515 | Justin Bethel | Dentist | 407 Highway 5 North, Benton, AR 72019 | 2008-04-02 |
| 1508070764 | Kevin B Delatour | Dentist | 808 North Main, Benton, IL 62812 | 2007-05-09 |
| 1053446450 | Jason Dewayne Nicholson | Dentist | 6151 Hwy 411, Benton, TN 37307 | 2007-02-23 |
| 1184724650 | Preston Cooper | Dentist | 1215 Military Rd, Suite 5, Benton, AR 72015 | 2006-09-25 |
| 1306951397 | Lendall Carroll Shell | Dentist | 2101 C Congo Rd, Benton, AR 72015 | 2006-08-20 |
| 1962416016 | Timothy Brian Scott | Dentist | 716 W South St, Benton, AR 72015-4160 | 2006-07-27 |
| 1447256607 | Brian E. Doss | Dentist | 978 Us Highway 68 E, Benton, KY 42025-7016 | 2005-06-22 |
| 1700309127 | Loredana Banu Wycliffe | Dentist | 216 E Carpenter St, Benton, AR 72015-3418 | 2017-07-18 |
| 1881816403 | Preston Cooper, Dds | Dentist | 1215 Military Rd, Suite 5, Benton, AR 72015 | 2007-05-03 |
| Find all providers in BENTON | ||||
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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.