NORTHWEST ARKANSAS ENDODONTIC SPECIALISTS, PA (NPI# 1528253416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528253416 |
| Entity Type | Organization |
| Organization Name | NORTHWEST ARKANSAS ENDODONTIC SPECIALISTS, PA |
| Practice Address |
1831 N Green Acres Rd Fayetteville AR 72703-2615 |
| Practice Telephone | 4795212814 |
| Practice Fax Number | 4795215842 |
| Mailing Telephone | 4795212814 |
| Mailing Fax Number | 4795215842 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |
| Authorized Official Name | DR. JAMES MARTIN TINNIN (PRESIDENT) |
| Authorized Official Telephone | 4795212814 |
| Authorized Official Credential | D.D.S., M.S.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
1998 | AR | Dental Providers |
| Street Address |
1831 N GREEN ACRES RD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497852495 | Michael Curry | Dentist | 1831 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2006-09-20 |
| 1407372949 | James M. Tinnin, D.d.s., M.s.d, P.a. | Dentist | 1831 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2017-08-16 |
| 1386764207 | James Martin Tinnin | Dentist | 1831 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2007-04-02 |
| 1124149059 | James Charles Tinnin | Dentist | 1831 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2007-04-02 |
| 1053418038 | Northwest Arkansas Periodontal Associates, Pllc | Dentist | 1831 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2006-09-20 |
| 1225135239 | Richard Pierce Osborne II | Dentist | 1831 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2006-09-20 |
| 1326145350 | Gary Renegar | Dentist | 1831 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497266092 | Kerolos Ragaey Helmy Elsayed | Dentist | 2028 Litho Pl, Fayetteville, NC 28304-2537 | 2017-10-23 |
| 1922523091 | Jamey C. Tinnin D.d.s. Endodontics Ltd | Dentist | 1680 E Joyce Blvd, Fayetteville, AR 72703-6214 | 2017-08-09 |
| 1679961148 | Suren Paravyan, Dmd, Md, Msd, Pa | Dentist | 201 S. Mcpherson Church Rd., Suite 201, Fayetteville, NC 28303 | 2015-01-06 |
| 1144359480 | John Lloyd Phillips | Dentist | 201 S Mcpherson Church Rd Ste 102, Fayetteville, NC 28303-4913 | 2007-03-04 |
| 1437296746 | Randall Edward Mckean | Dentist | 112 N Park Dr, Fayetteville, GA 30214-1645 | 2007-01-30 |
| 1003980020 | Bhavik P Shah | Dentist | 1240 Highway 54 W Ste 315, Fayetteville, GA 30214-4572 | 2006-11-20 |
| 1326149618 | East Side Dental Specialists P.C. | Dentist | 7201 E Genesee St, Fayetteville, NY 13066-1262 | 2006-09-26 |
| 1013992932 | William Francis Freccia | Dentist | 1312 Avon St, Fayetteville, NC 28304-4441 | 2005-12-14 |
| 1407372949 | James M. Tinnin, D.d.s., M.s.d, P.a. | Dentist | 1831 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2017-08-16 |
| 1962923268 | Benjamin Lanier Wheeler | Dentist | 1240 Highway 54 W Ste 315, Fayetteville, GA 30214-4572 | 2017-06-28 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on NORTHWEST ARKANSAS ENDODONTIC SPECIALISTS, PA.
| 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.