DARDANELLE FAMILY DENTISTRY (NPI# 1508246489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508246489 |
| Entity Type | Organization |
| Organization Name | DARDANELLE FAMILY DENTISTRY |
| Other Organization Name | DARDANELLE FAMILY DENTISTRY |
| Practice Address |
2533 State Highway 22 W Dardanelle AR 72834-8831 |
| Mailing Address |
Po Box 447 Dardanelle AR 72834-0447 |
| Practice Telephone | 4792293891 |
| Mailing Telephone | 4792293891 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | KATIE ELIZABETH CROW-GOATES (OWNER) |
| Authorized Official Telephone | 4792293891 |
| Authorized Official Credential | DDS, PLLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ASBDE LICENSE | 4037 | 01 |
| Other Name | Type Code |
|---|---|
| Dardanelle Family Dentistry | Doing Business As Name - Organization |
| Scott C George, DDS, PA | Former Legal Business Name - Organization |
| Street Address |
2533 STATE HIGHWAY 22 W |
| City | DARDANELLE |
| State | AR |
| Zip Code | 72834-8831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154338960 | Scott C. George | Dentist | 2533 State Highway 22 W, Dardanelle, AR 72834-8831 | 2006-08-02 |
| 1902286453 | Katie E Crow-goates | Dentist | 2533 State Highway 22 W, Dardanelle, AR 72834-8831 | 2015-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356711 | Joshua Craig Cummins | Pharmacist | 1172 Highway 7 North, Dardanelle, AR 72834 | 2020-11-03 |
| 1639716905 | Rodney Vance Parker | Pharmacist | 309 E. 8th Street, Danville, AR 72834 | 2019-12-05 |
| 1568904480 | Bradley Bibb, Md Pllc | Clinic/Center | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 | 2016-11-09 |
| 1861735243 | Tranquility Day Spa, Inc. | Point of Service | 27403 N State Hwy 27 South, Suite B, Pottsville, AR 72834 | 2013-04-03 |
| 1790990240 | Dardanelle Community Hospital LLC | Psychiatric Unit | 200 North Third Street, Dardanelle, AR 72834 | 2007-05-10 |
| 1356400634 | Gilbert Howard Kimball | Emergency Medicine | Yell County Hospital Dardanelle 200 North Third St., Dardanelle, AR 72834 | 2006-12-06 |
| 1255423059 | Michael D Mccormick | Dentist | 116 S Front St, Dardanelle, AR 72834 | 2006-09-29 |
| 1205940236 | Dardanelle Hospital Yell County | Emergency Medicine | 200 North 3rd Street, Dardanelle, AR 72834 | 2006-08-18 |
| 1740207240 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1172 Old Highway 7 S, Dardanelle, AR 72834 | 2006-07-17 |
| 1881671055 | William Patrick Scott | General Practice | 200 N 3rd, Dardanelle, AR 72834 | 2005-12-28 |
| Find all providers in zip 72834 | ||||
| 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 |
|---|---|---|---|---|
| 1255423059 | Michael D Mccormick | Dentist | 116 S Front St, Dardanelle, AR 72834 | 2006-09-29 |
| 1154841252 | William Michael Mccormick | Dentist | 2320 State Highway 7 N, Dardanelle, AR 72834-8170 | 2017-06-21 |
| 1902286453 | Katie E Crow-goates | Dentist | 2533 State Highway 22 W, Dardanelle, AR 72834-8831 | 2015-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743352 | Varsha Patel | Dentist | 130 Harkrider St, Conway, AR 72032-6623 | 2020-09-04 |
| 1174132914 | John S Teed | Dentist | 800 Vista Cv, Marion, AR 72364-9704 | 2020-07-28 |
| 1891303509 | Brandt Thomas Cooper | Dentist | 1685 Airport Rd, Hot Springs, AR 71913-7951 | 2020-07-20 |
| 1174141667 | Anslee Latourette | Dentist | 8239 Rogers Ave, Fort Smith, AR 72903-5553 | 2020-07-10 |
| 1073139960 | Leona C. Kemper, Dds, Pa | Dentist | 6189 Heber Springs Rd West, Quitman, AR 72131 | 2020-06-17 |
| 1225652670 | David Barry Riggs | Dentist | 800 Locust Ave, Conway, AR 72034-5331 | 2020-06-02 |
| 1497378137 | Evgeny Titov | Dentist | 2501 Market Trce Ste A, Fort Smith, AR 72908-8881 | 2020-05-28 |
| 1306469382 | Phipps Family Dentistry | Dentist | 807 W Centerton Blvd, Centerton, AR 72719-9705 | 2020-05-25 |
| 1831711910 | Brian Lane D D S Pa | Dentist | 17 Eagle Park Dr, Vilonia, AR 72173-9050 | 2020-05-12 |
| 1215557897 | Wh Ar Dental Pllc | Dentist | 4870 Elm Springs Rd Ste B, Springdale, AR 72762-3749 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
| City | DARDANELLE |
| Zip Code | 72834 |
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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.