MODERN DENTAL PROFESSIONALS-DUFF PA (NPI# 1538232566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538232566 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL PROFESSIONALS-DUFF PA |
| Other Organization Name | MONARCH DENTAL |
| Practice Address |
8700 S 36th Ter Fort Smith AR 72908-8797 |
| Mailing Address |
4700 W Commercial Dr Po Box 95050 N Little Rock AR 72116-7068 |
| Practice Telephone | 4796461979 |
| Mailing Telephone | 4796461979 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KENNY DUFF (OWNER) |
| Authorized Official Telephone | 4796461979 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3250 | AR | Dental Providers |
| Other Name | Type Code |
|---|---|
| Monarch Dental | Doing Business As Name - Organization |
| Street Address |
8700 S 36TH TER |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72908-8797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093956534 | Michael Robert Wattles | Dentist | 8700 S 36th Ter, Fort Smith, AR 72908-8797 | 2009-03-12 |
| 1568524056 | Kenny Duff | Dentist | 8700 S 36th Ter, Fort Smith, AR 72908-8797 | 2006-12-14 |
| 1164584546 | John Wheeler | Dentist | 8700 S 36th Ter, Fort Smith, AR 72908-8797 | 2006-12-14 |
| 1053473553 | Debra Girlinghouse-newman | Dentist | 8700 S 36th Ter, Fort Smith, AR 72908-8797 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396224069 | Baptist Health Services | Family Medicine | 8600 S 36th Ter Ste A, Fort Smith, AR 72908 | 2018-08-13 |
| 1609355528 | Baptist Health Services | Family Medicine | 8600 S 36th Ter Ste B, Fort Smith, AR 72908 | 2018-08-10 |
| 1578840765 | Thomas Macmahon | Counselor | 2505 Ramsgate Way, Fort Smith, AR 72908 | 2011-11-16 |
| 1790991453 | Dr Tom A Wood Chiropractic Inc | Chiropractor | 6108 S 31st Street, Ft Smith, AR 72908 | 2007-05-16 |
| 1952317687 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 7700 Hwy 271 South, Fort Smith, AR 72908 | 2006-08-01 |
| 1609879808 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 7700 Hwy 271 S, Ft. Smith, AR 72908 | 2005-05-23 |
| 1912415563 | Dr. Shane F. Laster P.a. | Optometrist | 9001 Jenny Lind Rd, Fort Smith, AR 72908 | 2018-01-17 |
| 1700962438 | Kristin L Efurd | Speech-Language Pathologist | 3520 Glen Flora Way, Fort Smith, AR 72908-0719 | 2006-10-27 |
| 1760658488 | Hillaree Tiffee | Occupational Therapist | 3409 Coventry Ln, Fort Smith, AR 72908-0777 | 2008-05-02 |
| 1588051031 | Olivia Morgan Lensing | Speech-Language Pathologist | 10808 Saint Anthony Ct, Fort Smith, AR 72908-0789 | 2015-04-22 |
| Find all providers in zip 72908 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215545710 | Justin Michael Cooper | Dentist | 5008 S U St Ste 101a, Fort Smith, AR 72903-3613 | 2020-07-21 |
| 1811483779 | Usama Kamal | Dentist | 7801 Phoenix Ave, Fort Smith, AR 72903-5091 | 2018-07-03 |
| 1194154443 | Moore Dental Care | Dentist | 2913 South 74th Street, Fort Smith, AR 72903 | 2013-11-07 |
| 1851634729 | Bethel Burris Oliver Pllc | Dentist | 4605 S Phoenix Avenue, Fort Smith, AR 72903-1713 | 2013-03-29 |
| 1750638284 | Cole Jerome Johnson | Dentist | 2420 S 51st Ct Ste A, Fort Smith, AR 72903-3669 | 2012-08-15 |
| 1669641098 | Kendall Roberts Dds PC | Dentist | 5505 Euper Lane, Fort Smith, AR 72903 | 2008-02-29 |
| 1982807137 | Kristopher Emery Liggett | Dentist | 3200 Rogers Ave Ste 112, Fort Smith, AR 72903-2954 | 2007-06-06 |
| 1831216977 | R K Girlinghouse Dds Pa | Dentist | 2307 Zero St, Suite #103, Fort Smith, AR 72901-8643 | 2007-03-23 |
| 1881722395 | J Stephen Wilson | Dentist | 4208 Jenny Lind Rd, Fort Smith, AR 72901-7660 | 2007-02-28 |
| 1548302524 | Ocean Dental of Arkansas, PC | Dentist | 1326 S Waldron Rd, Fort Smith, AR 72903-2556 | 2007-02-13 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72908 |
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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.