DR. GEORGE WALLACE SORRELLS III (NPI# 1649391830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649391830 |
| Entity Type | Individual |
| Full Name | DR. GEORGE WALLACE SORRELLS III |
| Credential | D.D.S. |
| Practice Address |
623 N Missouri St West Memphis AR 72301-3115 |
| Mailing Address |
Po Box 175 West Memphis AR 72303-0175 |
| Practice Telephone | 8707325100 |
| Mailing Telephone | 8707325100 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2948 | AR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184734709 | George W Sorrells Jr. | Dentist | 102 East Cooper Street, West Memphis, AR 72301 | 2006-08-30 |
| 1598762528 | George W Sorrells Jr. | Pediatrics | 1614 25th St, Bedford, IN 47421-5000 | 2005-07-05 |
| Street Address |
623 N MISSOURI ST |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| Find all providers in zip 72301 | ||||
| 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 |
|---|---|---|---|---|
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1770848681 | Higginbotham Dental Group, Pllc | Dentist | 255 W Broadway St, West Memphis, AR 72301-3903 | 2012-07-06 |
| 1003984360 | Angela Marie Davis | Dentist | 306 N 6th St, West Memphis, AR 72301-3221 | 2006-12-02 |
| 1740385202 | Brian Darrel Rhoads | Dentist | 108 Dover Rd, West Memphis, AR 72301 | 2006-09-13 |
| 1184734709 | George W Sorrells Jr. | Dentist | 102 East Cooper Street, West Memphis, AR 72301 | 2006-08-30 |
| 1023026630 | Daniel L Bird | Dentist | 203 S Avalon St, West Memphis, AR 72301-4172 | 2006-08-03 |
| 1942236823 | April Buffington | Dentist | 104 East Bond, West Memphis, AR 72301 | 2006-06-23 |
| 1548296445 | James Gray Buffington | Dentist | 104 E Bond Ave, West Memphis, AR 72301-3108 | 2006-06-23 |
| 1467443390 | Deborah Mae Williams | Dentist | 300 W Tyler Ave, West Memphis, AR 72301-4225 | 2005-10-31 |
| Find all providers in WEST MEMPHIS | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
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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.