LE WESTERN DENTISTRY, PLLC (NPI# 1922569573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922569573 |
| Entity Type | Organization |
| Organization Name | LE WESTERN DENTISTRY, PLLC |
| Practice Address |
16 Church St Charleston AR 72933-9190 |
| Mailing Address |
Po Box 308 Charleston AR 72933-0308 |
| Practice Telephone | 4799652291 |
| Practice Fax Number | 4799652292 |
| Mailing Telephone | 4799652291 |
| Mailing Fax Number | 4799652292 |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |
| Authorized Official Name | CASSI LYNN WORK (CLINIC COORDINATOR) |
| Authorized Official Telephone | 4797823005 |
| Is Organization Subpart | Y |
| Parent Organization Name | LE WESTERN DENTISTRY, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | GROUP NPI | 1154867893 | 01 |
| Other Name | Type Code |
|---|---|
| Charleston Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154867893 | Le Western Dentistry, Pllc | Point of Service | 520 S 14th St, Fort Smith, AR 72901-4608 | 2017-01-18 |
| Street Address |
16 CHURCH ST |
| City | CHARLESTON |
| State | AR |
| Zip Code | 72933-9190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891291290 | Damon Mark Mckenzie | Counselor | 107 S. Hancock, Charleston, AR 72933 | 2018-04-04 |
| 1700262375 | Lacey J Parker | Pharmacist | 621 East Main St, Charleston, AR 72933 | 2015-08-06 |
| 1306222872 | Courtney Houston | Pharmacist | 621 E Main Street, Charleston, AR 72933 | 2015-08-06 |
| 1518138478 | Sparks Regional Medical Center | Durable Medical Equipment & Medical Supplies | 17 So. Logan St., Charleston, AR 72933 | 2008-03-19 |
| 1356568562 | Tammy L Myers | Speech-Language Pathologist | 500 S Greenwood, Charleston, AR 72933 | 2007-04-19 |
| 1942427562 | City of Charleston Supt of Schools District 9 | Psychologist | 125 West Main Street, Charleston, AR 72933 | 2007-04-18 |
| 1376685107 | Stephanie Sharp | Speech-Language Pathologist | 9300 East County Line Road, Charleston, AR 72933 | 2007-02-12 |
| 1063507861 | Medisav Homecare Pharmacies Inc. | Pharmacy | 621 E Main, Charleston, AR 72933 | 2006-10-04 |
| 1447354014 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 17 S. Logan St., Charleston, AR 72933 | 2006-09-12 |
| 1508853466 | Timbi D West | Nurse Practitioner | 1006 E Main Street, Charleston, AR 72933 | 2005-10-05 |
| Find all providers in zip 72933 | ||||
| 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 |
|---|---|---|---|---|
| 1265039754 | Ravi Bhupen Patel | Dentist | 1755 Central Park Rd, Unit 1107, Charleston, SC 29412-2846 | 2020-10-07 |
| 1598372864 | Dental Professional of South Carolina, P.C. | Dentist | 1417 Folly Rd Ste 402, Charleston, SC 29412-9737 | 2020-09-30 |
| 1023627619 | Dental Professional of South Carolina, P.C. | Dentist | 702 Hopewell Dr, Charleston, SC 29492-7102 | 2020-07-29 |
| 1427673946 | Leslie Jordan Mcgarity | Dentist | 29 Bee Street Dc 271 Msc 507, Charleston, SC 29425-0001 | 2020-06-10 |
| 1629691449 | Tgd-west Ashley LLC | Dentist | 2048 Sam Rittenberg Blvd Ste 2, Charleston, SC 29407-4673 | 2020-05-27 |
| 1922650647 | Kinnara Vasamsetti Emmons | Dentist | 46 Queen St Apt B, Charleston, SC 29401-2805 | 2019-07-12 |
| 1932769189 | John Fitzgerald | Dentist | 26 Bee Street Msc 507 Dental Clinic Room 550, Charleston, SC 29425-0001 | 2019-06-19 |
| 1144880808 | Miranda Jo Ferrari | Dentist | 3 Creekstone Rdg, Charleston, WV 25309-8986 | 2019-06-15 |
| 1114586054 | Charleston Dental Associates, LLC | Dentist | 915 Saint Andrews Blvd, Charleston, SC 29407-7138 | 2019-06-12 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 72933 |
Please comment or provide details below to improve the information on LE WESTERN DENTISTRY, 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.