ERIC SHARKS DDS PLLC (NPI# 1033565445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033565445 |
Entity Type | Organization |
Organization Name | ERIC SHARKS DDS PLLC |
Practice Address |
2302 N Reynolds Rd Bryant AR 72022-2536 |
Mailing Address |
Po Box 3189 Syracuse NY 13220-3189 |
Practice Telephone | 5014814763 |
Enumeration Date | 2016-05-05 |
Last Update Date | 2016-05-05 |
Authorized Official Name | ERIC SHARKS (OWNER) |
Authorized Official Telephone | 5014814763 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
3252 | AR | Dental Providers |
Street Address |
2302 N REYNOLDS RD |
City | BRYANT |
State | AR |
Zip Code | 72022-2536 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942721477 | Leah Danielle Waits | Dentist | 2302 N Reynolds Rd, Bryant, AR 72022-2536 | 2017-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922608868 | Lindsay Paige Macphee | Behavior Technician | 22461-i-30 Frontage Road, Bryant, AR 72022 | 2020-10-29 |
1952913469 | Kaleigh Angleton | Pharmacist | 5500 Ar-5, Bryant, AR 72022 | 2020-08-18 |
1851937254 | Lonnell O Seamster Sr. | Nurse Practitioner | 501 Woody Drive, Alexander, AR 72022 | 2019-11-20 |
1366098998 | Hannah Marie London | Occupational Therapist | 350 School Drive, Bryant, AR 72022 | 2019-08-09 |
1356996987 | Micah Self | Occupational Therapy Assistant | 200 Nw 4th Street, Bryant, AR 72022 | 2019-08-09 |
1114437548 | Samantha Lee Davis | Behavioral Analyst | 22461 I-30 Frontage Rd, 1100b, Bryant, AR 72022 | 2017-10-12 |
1164962171 | Healthcare Express, LLP | Clinic/Center | 23150 I-30 N, Bryant, AR 72022 | 2017-02-24 |
1205283223 | V & S Xpress LLC | Non-emergency Medical Transport (VAN) | 719 Sedgefield, Bryant, AR 72022 | 2016-05-19 |
1467877969 | Arkansas Maxillofacial Surgery Center | Dentist | 411 Office Park Dr, Bryant, AR 72022 | 2014-02-20 |
1558614511 | Melissa Robertson | Audiologist | 501 Jack Stephens Dr #547-05, Little Rock, AR 72022 | 2012-10-16 |
Find all providers in zip 72022 |
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 |
---|---|---|---|---|
1689129447 | Alan Nguyen | Dentist | 612 W Commerce Dr Ste 1, Bryant, AR 72022-7517 | 2016-08-22 |
1497912927 | Clint Allen Fulks | Dentist | 3305 Highway 5 N., Suite 1, Bryant, AR 72019 | 2008-05-21 |
1457559528 | Walter Gene Howard | Dentist | 22450 Interstate 30, Bryant, AR 72022 | 2007-07-10 |
1982767547 | Ted W Jolley Dds Pllc | Dentist | 22450 I 30, Bryant, AR 72022 | 2006-12-18 |
1528158607 | Rickey Garfield Perry | Dentist | 23239 I-30 Bryant Plaza, Bryant, AR 72022 | 2006-10-13 |
1376634006 | David L. Ouellette | Dentist | 5921 Highway 5 N, Bryant, AR 72022-8515 | 2006-09-27 |
1174534804 | Andy Allen Cobb | Dentist | 612 W Commerce St, Suite 1, Bryant, AR 72022-7514 | 2006-08-10 |
1700806841 | Richard Alan Cain | Dentist | 3001 Horizon Ave, Bryant, AR 72022-9162 | 2006-07-20 |
1942721477 | Leah Danielle Waits | Dentist | 2302 N Reynolds Rd, Bryant, AR 72022-2536 | 2017-07-06 |
1104282797 | Horizon Dental Group LLC | Dentist | 2900 Horizon Dr, Suite 13, Bryant, AR 72022-9058 | 2016-01-12 |
Find all providers in BRYANT |
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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.