CHARLES RICHARD CONNELL (NPI# 1861469777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861469777 |
| Entity Type | Individual |
| Full Name | CHARLES RICHARD CONNELL |
| Credential | D.D.S. |
| Practice Address |
900 N 7th St West Memphis AR 72301-2001 |
| Practice Telephone | 8707336388 |
| Practice Fax Number | 8707321940 |
| Mailing Telephone | 8707336331 |
| Mailing Fax Number | 8707321940 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2016-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2311 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 101970608 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992791313 | Charles Connell | Podiatrist | 6104 E Brown Rd, Mesa, AZ 85205-4953 | 2005-09-21 |
| Street Address |
900 N 7TH ST |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599613 | East Arkansas Family Health Center Inc. | Clinic/Center | 900 N 7th St, West Memphis, AR 72301-2001 | 2005-06-27 |
| 1801431721 | Charledria B Mcgee | Nurse Practitioner | 900 N 7th St, West Memphis, AR 72301-2001 | 2019-11-14 |
| 1184197501 | Nikita Coleman-smith | Nurse Practitioner | 900 N 7th St, West Memphis, AR 72301-2001 | 2019-01-08 |
| 1518443670 | Lindsey Morgan Bryan | Nurse Practitioner | 900 N 7th St, West Memphis, AR 72301-2001 | 2018-07-12 |
| 1851882682 | Candace Sapp | Dietitian, Registered | 900 N 7th St, West Memphis, AR 72301-2001 | 2018-05-29 |
| 1952808651 | Phyllis Riggins | Nurse Practitioner | 900 N 7th St, West Memphis, AR 72301-2001 | 2018-04-09 |
| 1760915813 | Ursula Desha Logan | Registered Nurse | 900 N 7th St, West Memphis, AR 72301-2001 | 2017-04-05 |
| 1760838833 | Adrienne D Hatchett | Family Medicine | 900 N 7th St, West Memphis, AR 72301-2001 | 2016-05-09 |
| 1295140374 | Geral Towne | Nurse Practitioner | 900 N 7th St, West Memphis, AR 72301 | 2014-06-26 |
| 1306250295 | Robert Blake Bowman | Dentist | 900 N 7th St, West Memphis, AR 72301-2001 | 2014-06-18 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1215489885 | Heritage Mobile Dental Care, Pllc | Dentist | 204 N Rhodes St, West Memphis, AR 72301-3944 | 2016-10-31 |
| 1447388509 | Tommy Lynn Mcgee | Dentist | 120 West Tyler, West Memphis, AR 72301 | 2007-03-01 |
| 1750433686 | John Watson Buntin | Dentist | 312 Missouri St, West Memphis, AR 72301 | 2007-01-18 |
| 1861574097 | Charles Senter Wood Jr. | Dentist | 715 Calvin Avery Dr, West Memphis, AR 72301 | 2006-10-19 |
| 1306935788 | Jerry Wayne Cook I | Dentist | 715 Calvin Avery Drive, West Memphis, AR 72301 | 2006-10-12 |
| 1508962937 | Wood Dental Group, P.a. | Dentist | 715 Calvin Avery, West Memphis, AR 72301 | 2006-09-15 |
| 1487021465 | Kidz Choice West Memphis Pllc | Dentist | 316 W Tyler Ave, West Memphis, AR 72301-4225 | 2015-08-26 |
| 1306250295 | Robert Blake Bowman | Dentist | 900 N 7th St, West Memphis, AR 72301-2001 | 2014-06-18 |
| 1982969853 | Fredisha Manning Goodfellow | Dentist | 900 N 7th St, West Memphis, AR 72301-2001 | 2012-07-06 |
| 1518196815 | Michelle N Freire-troxel | Dentist | 900 N 7th St, West Memphis, AR 72301-2001 | 2009-07-08 |
| Find all providers in WEST MEMPHIS | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
Please comment or provide details below to improve the information on CHARLES RICHARD CONNELL.
| 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.