NICK GROTE FAMILY DENTAL PA (NPI# 1801317375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801317375 |
| Entity Type | Organization |
| Organization Name | NICK GROTE FAMILY DENTAL PA |
| Other Organization Name | GROTE FAMILY DENTAL |
| Practice Address |
611 Jefferson St Van Buren AR 72956-5159 |
| Practice Telephone | 4794742701 |
| Practice Fax Number | 4794742701 |
| Mailing Telephone | 4794742701 |
| Mailing Fax Number | 4794743977 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | NICHOLAS GROTE (OWNER/DENTIST) |
| Authorized Official Telephone | 4798066556 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | NICK GROTE FAMILY DENTAL PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
3881 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 201489631 | 05 | |
| AR | 200268608 | 05 |
| Other Name | Type Code |
|---|---|
| Grote Family Dental | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 708 Pirates Way, Cedarville, AR 729329506 | 4799226153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447671862 | Nick Grote Family Dental Pa | Dentist | 611 Jefferson St, Van Buren, AR 72956-5159 | 2014-01-02 |
| Street Address |
611 JEFFERSON ST |
| City | VAN BUREN |
| State | AR |
| Zip Code | 72956-5159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952417040 | Billy J Graham | Dentist | 611 Jefferson St, Van Buren, AR 72956 | 2006-08-22 |
| 1447671862 | Nick Grote Family Dental Pa | Dentist | 611 Jefferson St, Van Buren, AR 72956-5159 | 2014-01-02 |
| 1639337157 | Billy Joe Graham | Dentist | 611 Jefferson St, Van Buren, AR 72956-5159 | 2008-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092597 | Fort Smith Regional Dialysis Center, LLC | Clinic/Center | 256 Northridge Drive E, Van Buren, AR 72956 | 2020-08-06 |
| 1831678507 | Baptist Health Services | Family Medicine | 209 Pointer Trl W Ste A, Van Buren, AR 72956 | 2018-08-13 |
| 1235618992 | Baptist Health Services | Pediatrics | 209 Pointer Trl W Ste B, Van Buren, AR 72956 | 2018-08-13 |
| 1225517030 | Baptist Heath Services | Family Medicine | 14 Gothic Ridge Rd Ste B, Van Buren, AR 72956 | 2018-08-13 |
| 1255810206 | Baptist Health Services | Family Medicine | 14 Gothic Ridge Rd Ste A, Van Buren, AR 72956 | 2018-08-10 |
| 1407371339 | Allison Frazier | Speech-Language Pathologist | 2221 Pointer Trail East, Van Buren, AR 72956 | 2017-08-11 |
| 1225443104 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2015 Fayetteville Road, Van Buren, AR 72956 | 2014-06-30 |
| 1629326210 | Natalie N. Fink | Speech-Language Pathologist | 1109 Fayetteville Rd., Van Buren, AR 72956 | 2012-08-29 |
| 1538490271 | Ronald Joel Yukon | Chiropractor | 2731 Rudy Road, Van Buren, AR 72956 | 2010-01-20 |
| 1568799864 | Fritzie Suggs | Occupational Therapist | 2233 Alma Hwy, Suite C, Van Buren, AR 72956 | 2009-11-06 |
| Find all providers in zip 72956 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467875161 | Nancy E. Malcolm Ltd | Dentist | 910 Enterprise Dr, Jonesboro, AR 72401-9239 | 2014-01-31 |
| 1982883039 | Kevin S. Pierce, D.d.s. P.a. | Dentist | 1724 Executive Sq, Jonesboro, AR 72401-6092 | 2007-10-25 |
| 1124151345 | Andrea M. Smith | Dentist | 1400 Dale Bumpers Dr, Forrest City, AR 72335-2695 | 2007-03-14 |
| 1902989460 | Samuel Todd Swann | Dentist | 15 Wilson Farm Rd, Greenbrier, AR 72058-0248 | 2006-10-20 |
| 1275622755 | Mark E. Pickett | Dentist | 135 Cash Rd Nw, Camden, AR 71701-3833 | 2006-10-12 |
| 1588778641 | Mark A, Davis | Dentist | 15775 Highway 16 E, Shirley, AR 72153-8930 | 2006-08-18 |
| 1255422622 | John William Antonetz | Dentist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2006-09-28 |
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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.