BOLD DENTAL PARTNERS PLLC (NPI# 1619311198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619311198 |
| Entity Type | Organization |
| Organization Name | BOLD DENTAL PARTNERS PLLC |
| Practice Address |
640 N Garland Ave Suite 104 Fayetteville AR 72701 |
| Mailing Address |
Po Box 1108 Fayetteville AR 72702-1108 |
| Practice Telephone | 4795212653 |
| Practice Fax Number | 4795750380 |
| Mailing Telephone | 4794399192 |
| Mailing Fax Number | 4797252395 |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-08-28 |
| Authorized Official Name | DR. SCOTT L BOLDING (OWNER) |
| Authorized Official Telephone | 4795212653 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3062 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 163704608 | 05 |
| Street Address |
640 N GARLAND AVE SUITE 104 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144348582 | Taruna Sharma Bolding | Dentist | 640 N Garland Ave, Suite 104, Fayetteville, AR 72701-3116 | 2007-03-26 |
| 1497245997 | Mcqueen Dental Pllc | Clinic/Center | 640 N Garland Ave, Fayetteville, AR 72701-3116 | 2018-05-10 |
| 1508296005 | Andrew C Johnson | Dentist | 640 N Garland Ave, Suite 104, Fayetteville, AR 72701-3116 | 2013-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588213417 | Biggers Counseling, LLC | Social Worker | 349 S Hill Ave, Fayetteville, AR 72701 | 2019-09-04 |
| 1235603200 | Arkansas Holistic Health Care Chiropractic | Chiropractor | 2618 Mlk Jr Blvd, Fayetteville, AR 72701 | 2019-01-14 |
| 1225520828 | Jacoby Markie Clemons | Specialist/Technologist | 1201 West Leroy Pond Dr, Fayetteville, AR 72701 | 2018-05-31 |
| 1952892390 | Ambur Dryer | Specialist/Technologist | 994 W Mlk Jr. Blvd., Fayetteville, AR 72701 | 2018-05-22 |
| 1851814230 | Blakely Low | Psychologist | 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 | 2017-07-18 |
| 1518496215 | Van Michael Mcqueen Jr. | Dentist | 640 N Garland Ave # 104, Fayetteville, AR 72701 | 2017-06-06 |
| 1407204217 | Kenna Megan Hodeaux | Specialist/Technologist | 1201 Leroy Pond Drive, Sports Medicine Department, Fayetteville, AR 72701 | 2016-06-02 |
| 1740634435 | Crystal Susan Rofkahr | Psychologist | 26 E Meadow St Ste 3, Fayetteville, AR 72701 | 2016-04-19 |
| 1942663521 | Satoshi IIda | Specialist/Technologist | 1010 S Dunn Ave., Apt 205a, Fayetteville, AR 72701 | 2016-04-01 |
| 1992163901 | Dr Don M Chaney Dds Pa | Dentist | 1826 N. Crossover Road, Suite 2, Fayetteville, AR 72701 | 2016-02-04 |
| Find all providers in zip 72701 | ||||
| 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 |
|---|---|---|---|---|
| 1962014696 | Neko Lynn Webb | Dentist | 2050 Skibo Rd Ste 104, Fayetteville, NC 28314-3161 | 2020-08-24 |
| 1225529605 | Alterman & Dhillon Eastern Nc, Pplc | Dentist | 4251 Ramsey St Ste 8&9, Fayetteville, NC 28311-2130 | 2018-05-22 |
| 1093217184 | Brandon Murray | Dentist | 2935 Breezewood Ave Ste 200, Fayetteville, NC 28303-5498 | 2018-03-05 |
| 1831641877 | Ryan Bradley | Dentist | 3500 Black Forest Dr Ste 1, Fayetteville, AR 72704-6551 | 2016-10-25 |
| 1750834255 | Sharitha Anderson | Dentist | 117 Pavilion Pkwy Ste 15c, Fayetteville, GA 30214-7732 | 2016-08-01 |
| 1992163901 | Dr Don M Chaney Dds Pa | Dentist | 1826 N. Crossover Road, Suite 2, Fayetteville, AR 72701 | 2016-02-04 |
| 1972973766 | Beautiful Smiles of Fayetteville | Dentist | 719 Lanier Ave W Ste A1, Fayetteville, GA 30214-7634 | 2015-10-06 |
| 1962870030 | Matthew Christian Alvarez | Dentist | 113 Ebenezer Rd Ste 101, Fayetteville, GA 30215 | 2015-09-08 |
| 1053795336 | Knowles, Smith & Associates, LLP | Dentist | 2028 Litho Pl Ste 300, Fayetteville, NC 28304-2538 | 2015-07-16 |
| 1952784159 | Christina Walls | Dentist | 637 E Joyce Blvd, #120, Fayetteville, AR 72703-6189 | 2015-07-07 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72701 |
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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.