DAVID KERNODLE (NPI# 1457679342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457679342 |
| Entity Type | Individual |
| Full Name | DAVID KERNODLE |
| Credential | DDS |
| Practice Address |
708 E Dixon Rd Little Rock AR 72206-4114 |
| Mailing Address |
1904 W Parkside Ln Suite 201 Phoenix AZ 85027-1228 |
| Practice Telephone | 8772279892 |
| Practice Fax Number | 6233216268 |
| Mailing Telephone | 8004092563 |
| Mailing Fax Number | 6233216268 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2010-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1904 | AR | Dental Providers |
| Street Address |
708 E DIXON RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72206-4114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689899155 | Lauren Elise Daniel | Speech-Language Pathologist | 708 E Dixon Rd, Little Rock, AR 72206-4114 | 2007-04-17 |
| 1619337235 | Jill Mills | Specialist/Technologist | 708 E Dixon Rd, Little Rock, AR 72206-4114 | 2016-02-24 |
| 1477912376 | Rebecca Hupp | Specialist/Technologist | 708 E Dixon Rd, Little Rock, AR 72206-4114 | 2016-02-19 |
| 1942669411 | Sarah Baxter | Specialist/Technologist | 708 E Dixon Rd, Little Rock, AR 72206-4114 | 2016-02-12 |
| 1245576578 | Casey Erin Thomas | Speech-Language Pathologist | 708 E Dixon Rd, Rm. 27, Little Rock, AR 72206-4114 | 2012-12-13 |
| 1790918449 | Cooper Matone Dental Care PC | Dentist | 708 E Dixon Rd, Little Rock, AR 72206-4114 | 2009-08-28 |
| 1306093638 | Leisa Kennedy | Speech-Language Pathologist | 708 E Dixon Rd, Little Rock, AR 72206-4114 | 2008-08-18 |
| 1316106545 | Denise Jean Wood | Specialist/Technologist | 708 E Dixon Rd, Little Rock, AR 72206-4114 | 2008-06-03 |
| 1245406099 | Vicki C Speck | Speech-Language Pathologist | 708 E Dixon Rd, Little Rock, AR 72206-4114 | 2008-05-01 |
| 1609041680 | Patricia A Shupe | Specialist/Technologist | 708 E Dixon Rd, Little Rock, AR 72206-4114 | 2008-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851944698 | Rachael Lynette Perkins | Pharmacist | 4301 Atwood Rd, Little Rock, AR 72206 | 2019-07-22 |
| 1669826954 | Caeb Investments Inc. | Pharmacy | 11200 Arch Street, Little Rock, AR 72206 | 2016-04-22 |
| 1871991158 | Jill Ashley | Case Manager/Care Coordinator | 19825 Jones Rd, Little Rock, AR 72206 | 2014-12-18 |
| 1568718930 | Matthew Reel | Social Worker | 2100 South Gaines St., Little Rock, AR 72206 | 2012-08-03 |
| 1255616363 | Heidi C Tramel | Pharmacist | 1100 E Roosevelt Rd (kroger Pharmacy), Little Rock, AR 72206 | 2011-10-20 |
| 1518289198 | Casey Renae Tisdale | Speech-Language Pathologist | 1616 S. Spring St., Little Rock, AR 72206 | 2010-02-23 |
| 1578713277 | Robert Earl Pruitt Jr. | Social Worker | 2200 Fort Root Dr., North Little Rock, AR 72206 | 2008-09-30 |
| 1063634285 | The Arc Arkansas | Day Training, Developmentally Disabled Services | 2004 S. Main Street, Little Rock, AR 72206 | 2007-05-03 |
| 1942352596 | Tomie Mccall Jr. | Dentist | 721 East 21st Street, Little Rock, AR 72206 | 2007-01-16 |
| 1366530883 | Central Arkansas Veterans Healthcare System | Chronic Disease Hospital | 1321 West Charles Bussey Ave., Little Rock, AR 72206 | 2006-10-10 |
| Find all providers in zip 72206 | ||||
| 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 |
|---|---|---|---|---|
| 1730711227 | Dentalways of Little Rock Pllc | Dentist | 1415 Breckenridge Dr Ste D, Little Rock, AR 72227-4864 | 2020-02-12 |
| 1053829887 | Yin Hildesheim, Dmd, P.a. | Dentist | 10912 Colonel Glenn Rd Ste 3500, Little Rock, AR 72204-8241 | 2018-01-15 |
| 1801328240 | John Douglas Pate | Dentist | 1001 S Bowman Rd Ste 1, Little Rock, AR 72211-3710 | 2017-04-03 |
| 1588010433 | Wesley David Buchman | Dentist | 10319 W Markham St Ste 600, Little Rock, AR 72205-4559 | 2016-05-10 |
| 1831567189 | Yin Hildesheim | Dentist | 28 Bella Rosa Ct, Little Rock, AR 72223-4548 | 2015-09-03 |
| 1487031969 | Jackie L. Smith, Dds, Pllc | Dentist | 6315 Ranch Dr., Little Rock, AR 72223-0000 | 2015-05-04 |
| 1629461884 | Hd Dental, Pa Dba Smile Dental | Dentist | 14810 Cantrell Rd, Little Rock, AR 72223-4244 | 2015-03-12 |
| 1710393517 | Chase Conway Diemer | Dentist | 15208 Bauch Ln, Little Rock, AR 72206-5787 | 2014-07-01 |
| 1588087993 | Austin Family Dentisty of Little Rock | Dentist | 11211 Cantrell Rd, Ste 200, Little Rock, AR 72212-1819 | 2014-01-22 |
| 1720417314 | Summit Dental, Inc. | Dentist | 12120 Col Glenn Rd, Suite 6600, Little Rock, AR 72210-2824 | 2013-11-05 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72206 |
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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.