KEVIN S. PIERCE, D.D.S. P.A. (NPI# 1982883039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982883039 |
| Entity Type | Organization |
| Organization Name | KEVIN S. PIERCE, D.D.S. P.A. |
| Practice Address |
1724 Executive Sq Jonesboro AR 72401-6092 |
| Practice Telephone | 8702688600 |
| Practice Fax Number | 8702680044 |
| Mailing Telephone | 8702688600 |
| Mailing Fax Number | 8702680044 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |
| Authorized Official Name | DR. KEVIN S PIERCE (DENTIST) |
| Authorized Official Telephone | 8702688600 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
3398 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA | 1397202 | 01 | |
| ARBCBS | 5-X034 | 01 | |
| BCBSTN | 2114424 | 01 | |
| AR | 14824631 | 05 |
| Street Address |
1724 EXECUTIVE SQ |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-6092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1801317375 | Nick Grote Family Dental Pa | Dentist | 611 Jefferson St, Van Buren, AR 72956-5159 | 2017-07-05 |
| 1255422622 | John William Antonetz | Dentist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2006-09-28 |
Please comment or provide details below to improve the information on KEVIN S. PIERCE, D.D.S. P.A..
| 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.