BROOKE JEFFUS, DDS, PLLC (NPI# 1548642556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548642556 |
| Entity Type | Organization |
| Organization Name | BROOKE JEFFUS, DDS, PLLC |
| Practice Address |
2235 Dave Ward Dr Ste 103 Conway AR 72034-7040 |
| Practice Telephone | 5019321092 |
| Practice Fax Number | 5019320211 |
| Mailing Telephone | 5019321092 |
| Mailing Fax Number | 5019320211 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |
| Authorized Official Name | DR. BROOKE J JEFFUS (DENTIST) |
| Authorized Official Telephone | 5019320192 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3631 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1225221567 | 01 |
| Street Address |
2235 DAVE WARD DR STE 103 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-7040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760049753 | Dave Ward Dental Center | Clinic/Center | 2235 Dave Ward Dr Ste 103, Conway, AR 72034-7040 | 2019-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| 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 |
|---|---|---|---|---|
| 1497310288 | Luke Fruchey | Dentist | 1125 S Amity Rd, Conway, AR 72032-8090 | 2019-05-07 |
| 1821591876 | Randy Lenderman Dds Plc | Dentist | 2425 Prince St Ste 1, Conway, AR 72034-3701 | 2018-03-15 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1427592732 | Axpm- Conway Dental Pllc | Dentist | 8 Medical Ln, Conway, AR 72034-4913 | 2016-12-06 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1316326028 | Jacob Seiter | Dentist | 2157 Prince St, Conway, AR 72034-3737 | 2015-05-27 |
| 1083032379 | East Oak Dental Pa | Dentist | 1600 E Oak St, Ste B, Conway, AR 72032 | 2014-04-03 |
| 1669800421 | Kidz Choice Conway LLC | Dentist | 2415 Prince St, Suite 105, Conway, AR 72034-3746 | 2013-10-14 |
| 1962782961 | Michael J Maser | Dentist | 1867 Highway 544 Unit B, Conway, SC 29526-8478 | 2011-08-22 |
| 1346479755 | Gary Tumlison, Dds | Dentist | 810 Locust St., Conway, AR 72034 | 2009-07-07 |
| Find all providers in CONWAY | ||||
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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.