RIVER DENTAL SILOAM SPRINGS, PLLC (NPI# 1942807144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942807144 |
| Entity Type | Organization |
| Organization Name | RIVER DENTAL SILOAM SPRINGS, PLLC |
| Practice Address |
3105 Highway 412 E Siloam Springs AR 72761-8635 |
| Mailing Address |
400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 |
| Practice Telephone | 4792500949 |
| Mailing Telephone | 9189980996 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | CREED CARDON (OWNER) |
| Authorized Official Telephone | 9189980996 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
3105 HIGHWAY 412 E |
| City | SILOAM SPRINGS |
| State | AR |
| Zip Code | 72761-8635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932442803 | Bethel Burris Oliver Pllc | Dentist | 3105 Highway 412 E, Siloam Springs, AR 72761-8635 | 2013-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285908 | Tripharma Inc. | Pharmacy | 310 N Progress Ave, Siloam Springs, AR 72761 | 2019-09-24 |
| 1861058547 | Oyenike Adigun-awonaike | Nurse Practitioner | 3271, Hwy 412, Siloam Springs, AR 72761 | 2019-05-17 |
| 1811551989 | Natasha Victoria Clayton | Registered Nurse | 3721 U.S. 412 Hwy, Siloam Springs, AR 72761 | 2019-04-24 |
| 1649750662 | David Raymond Jordan | Physical Therapy Assistant | 301 Glenwood Pl, Siloam Springs, AR 72761 | 2018-08-20 |
| 1689120222 | Wesley Phillip Horton | Speech-Language Pathologist | 501 W Elgin St, Siloam Springs, AR 72761 | 2016-09-01 |
| 1407216138 | Amy Bassarear | Social Worker | 1500 N Mount Olive St Ste 1, Siloam Springs, AR 72761 | 2016-02-23 |
| 1033584073 | Siloam Springs Clinic Company, LLC | Clinic/Center | 3721 East 412 Hwy, Suite B, Siloam Springs, AR 72761 | 2015-12-02 |
| 1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
| 1508258021 | Lifebridge Ar Counseling | Counselor | 301 East Ashley St., Siloam Springs, AR 72761 | 2015-02-20 |
| 1902176472 | Meghan Daley | Occupational Therapist | 918 South Mt Olive, Siloam Springs, AR 72761 | 2011-12-30 |
| Find all providers in zip 72761 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417516550 | Brandon L Chavez Dds Pllc | Clinic/Center | 1300 N Progress Ave, Siloam Springs, AR 72761-4077 | 2019-06-12 |
| 1548393648 | John R Holcomb Dds Pa | Clinic/Center | 740 S Holly St, Siloam Springs, AR 72761-3304 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557539 | David M Robbins Dds | Clinic/Center | 241 Hobson Ave, Hot Springs, AR 71913-3724 | 2020-10-28 |
| 1710585856 | Frank A Brooks IIi Dds Pa | Clinic/Center | 2102 First National Dr, Harrison, AR 72601-6234 | 2020-10-12 |
| 1902412018 | Cave Springs Dental | Clinic/Center | 260 S Gleneagle Dr Ste C, Cave Springs, AR 72718-6011 | 2020-09-23 |
| 1134733876 | Bradley R Crossfield Dds Pllc | Clinic/Center | 880 East Centerton Blvd, Suite A, Centerton, AR 72719 | 2020-09-01 |
| 1275143950 | Brad Wheelis Family Dentistry Pllc | Clinic/Center | 1218 East Main St, Melbourne, AR 72556 | 2020-08-06 |
| 1962012385 | Cynthia Landry Dds | Clinic/Center | 446 Miles St, Lepanto, AR 72354-2618 | 2020-08-01 |
| 1548878077 | Douglas M. Matthews,d.d.s.,p.a. | Clinic/Center | 350 E College St, Batesville, AR 72501-5624 | 2020-07-21 |
| 1407473481 | Simon Family Dentistry | Clinic/Center | 191 Highway 64 E, Alma, AR 72921-3306 | 2020-06-25 |
| 1912529504 | Dover Dental D.d.s., P.a. Dba Dover Family Dentistry | Clinic/Center | 400 S College St Ste 4, Mountain Home, AR 72653-3991 | 2020-05-18 |
| 1548881550 | Christi Weaver Shepard Dds, Pa | Clinic/Center | 4200 N Rodney Parham Rd Ste 200, Little Rock, AR 72212-2460 | 2020-04-30 |
| Find all providers with the same taxonomy | ||||
| City | SILOAM SPRINGS |
| Zip Code | 72761 |
Please comment or provide details below to improve the information on RIVER DENTAL SILOAM SPRINGS, 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.