SMILE SHOPPE BENTONVILLE JEFFREY D RHODES DDS MS PLLC (NPI# 1750800827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750800827 |
| Entity Type | Organization |
| Organization Name | SMILE SHOPPE BENTONVILLE JEFFREY D RHODES DDS MS PLLC |
| Practice Address |
3101 Se 14th St Bentonville AR 72712-4900 |
| Mailing Address |
5518 W Walsh Ln Rogers AR 72758-8947 |
| Practice Telephone | 4798768883 |
| Mailing Telephone | 4796316377 |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2017-09-11 |
| Authorized Official Name | KARIE WATSON (PRACTICE MANAGER) |
| Authorized Official Telephone | 4796316377 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
3101 SE 14TH ST |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760447353 | Rickey L Mcgath | Family Medicine | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2006-04-18 |
| 1093273195 | Melinda S Tucker | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2019-03-07 |
| 1568958833 | Meredith R Krohn | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2018-07-10 |
| 1194210070 | Jaime Marie Holthaus | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2018-06-25 |
| 1154810612 | Paige Boles | Registered Nurse | 3101 Se 14th St, Bentonville, AR 72712 | 2018-05-09 |
| 1750818894 | Tiffany Lynn Shanahan | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712 | 2017-05-19 |
| 1962937102 | Megan Elizabeth Owen | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2017-04-25 |
| 1982147765 | Tori Layne Abernathy | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2016-11-28 |
| 1972954600 | Rachel Angulo | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2016-06-23 |
| 1013381730 | Diana Rene Dunbar | Nurse Practitioner | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2015-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598255358 | Jessica Stephanie Fay Sliger | Dentist | 1909 E Central Ave, Bentonville, AR 72712-5601 | 2018-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669098208 | Dr. Joseph M. Mazurek, Inc | Dentist | 6500 Baseline Rd, Little Rock, AR 72209-4732 | 2020-06-19 |
| 1508334400 | Smile Shoppe Fayetteville Jeffrey D. Rhodes Dds Ms Pllc | Dentist | 3484 W Wedington Dr, Fayetteville, AR 72704-5730 | 2018-11-08 |
| 1609234269 | Bethel Burris Oliver | Dentist | 2713 W Kings Highway, Paragould, AR 72450 | 2016-02-10 |
| 1114339926 | Amanda Hankins | Dentist | 5518 W Walsh Ln, Rogers, AR 72758-8947 | 2014-05-28 |
| 1881018786 | My Village Smiles, Pllc | Dentist | 1104 Poplar Pl, Rogers, AR 72756-4249 | 2014-02-12 |
| 1689974362 | Karen Anne Green | Dentist | 1607 E Rainforest Rd, Fayetteville, AR 72703 | 2010-10-27 |
| 1740508217 | Sarah Norris Farmer | Dentist | 3310 Hwy 5 N, Bryant, AR 72019-9031 | 2010-05-09 |
| 1760648174 | James L Bevans Pediatric Dentistry Pa | Dentist | 7409 Alcoa Road, Suite 5, Bryant, AR 72022 | 2008-08-05 |
| 1720242167 | Summer Barker Tyson | Dentist | 620 Southwest Dr, Jonesboro, AR 72401-5859 | 2008-07-15 |
| 1225211196 | John Michael Burrows | Dentist | 303 Bancario, Ste 11-12, Marion, AR 72364-2825 | 2007-12-13 |
| Find all providers with the same taxonomy | ||||
| City | BENTONVILLE |
| Zip Code | 72712 |
Please comment or provide details below to improve the information on SMILE SHOPPE BENTONVILLE JEFFREY D RHODES DDS MS PLLC.
| 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.