HIGGINBOTHAM DENTAL GROUP, PLLC (NPI# 1770848681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770848681 |
| Entity Type | Organization |
| Organization Name | HIGGINBOTHAM DENTAL GROUP, PLLC |
| Other Organization Name | HIGGINBOTHAM FAMILY DENTAL |
| Practice Address |
255 W Broadway St West Memphis AR 72301-3903 |
| Mailing Address |
1804 Old Greensboro Rd Bldg B Jonesboro AR 72405-0003 |
| Practice Telephone | 8702252500 |
| Mailing Telephone | 8703363732 |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | MISTI ROSS (INS DIRECTOR) |
| Authorized Official Telephone | 8703363732 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Higginbotham Family Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457717381 | Higginbotham Dental Group, Pllc | Dentist | 113 Harbor Town Sq, Suite 203, Memphis, TN 38103-8890 | 2016-01-07 |
| 1205211976 | Higginbotham Dental Group, Pllc | Dentist | 1804 Old Greensboro Rd Ste D, Jonesboro, AR 72405-2076 | 2015-07-23 |
| 1912274630 | Higginbotham Dental Group, Pllc | Dentist | 2200 W Kingshighway, Paragould, AR 72450-3917 | 2011-11-23 |
| 1124263579 | Higginbotham Dental Group, Pllc | Dentist | 321 Southwest Dr, Jonesboro, AR 72401-5854 | 2008-12-12 |
| 1710005384 | Higginbotham Dental Group, Pllc | Dentist | 3922 E Main St Ste D, Blytheville, AR 72315-6813 | 2007-03-26 |
| 1902392202 | Higginbotham Dental Group, Pllc | Dentist | 14810 Cantrell Rd Ste 150, Little Rock, AR 72223-4681 | 2018-07-10 |
| 1366797953 | Higginbotham Dental Group, Pllc | Dentist | 103 1st St, Kennett, MO 63857-2051 | 2012-07-19 |
| Street Address |
255 W BROADWAY ST |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-3903 |
| 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 |
| 1649391830 | George Wallace Sorrells IIi | Dentist | 623 N Missouri St, West Memphis, AR 72301-3115 | 2007-04-03 |
| 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 |
Please comment or provide details below to improve the information on HIGGINBOTHAM DENTAL GROUP, 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.