DR. GARY JONES (NPI# 1114447216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114447216 |
| Entity Type | Individual |
| Full Name | DR. GARY JONES |
| Practice Address |
830 N Creek Dr Conway AR 72032-4711 |
| Mailing Address |
8312 Reymere Dr Little Rock AR 72227-3944 |
| Practice Telephone | 5019320559 |
| Mailing Telephone | 5016559702 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4187 | AR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295282952 | Gary Jones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6700 Rockridge Dr, Anchorage, AK 99516-1898 | 2016-09-09 |
| 1437585429 | Gary Jones | Social Worker | 6224 Delancey St, Philadelphia, PA 19143-1020 | 2013-09-23 |
| 1407104482 | Gary Mosher Jones | General Practice | 2004 Riding Ridge Rd, Columbia, SC 29223-6713 | 2012-08-22 |
| 1770880346 | Gary Ricks Jones | Ophthalmology | 1924 S View St, Salt Lake City, UT 84105-3712 | 2011-02-17 |
| 1013222702 | Gary Arthur Jones | Religious Nonmedical Practitioner | 138 E St Se, Washington, DC 20003-2613 | 2010-08-18 |
| 1770807091 | Gary A Jones Jr. | Counselor | 1908 Ne 52nd St, Oklahoma City, OK 73111-7010 | 2010-03-15 |
| 1669698361 | Gary Paul Jones | Dentist | 25422 Trabuco Rd, Suite 104, Lake Forest, CA 92630-2791 | 2007-04-18 |
| 1871716480 | Gary Jones | Dentist | 601 N 21st St, Ozark, MO 65721-9184 | 2007-04-11 |
| 1477693026 | Gary M Jones | Pharmacist | 101 Lexington Plz, Lexington, TN 38351-1505 | 2007-02-06 |
| 1437207453 | Gary S. Jones | Dentist | 6135 Hwy. 16, South, Denver, NC 28037 | 2007-01-08 |
| Street Address |
830 N CREEK DR |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-4711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881612703 | Catholic Health Initiatives -st. Vincent Interfaith Clinic, Inc | Family Medicine | 830 N Creek Dr, Conway, AR 72032-4711 | 2006-07-18 |
| 1043864093 | Conway Regional Medical Center, Inc | Dentist | 830 N Creek Dr, Conway, AR 72032-4711 | 2019-07-29 |
| 1750410569 | James Alfred Summitt | Dentist | 830 N Creek Dr, Conway, AR 72032-4711 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| 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 |
|---|---|---|---|---|
| 1235743352 | Varsha Patel | Dentist | 130 Harkrider St, Conway, AR 72032-6623 | 2020-09-04 |
| 1225652670 | David Barry Riggs | Dentist | 800 Locust Ave, Conway, AR 72034-5331 | 2020-06-02 |
| 1487131793 | Jimiskumar Satishkumar Patel | Dentist | 2676 Church St Unit A, Conway, SC 29526-4471 | 2018-07-20 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1033657382 | Heath Bryan Coleman, Dds of Arkansas II, Pllc | Dentist | 635 Dave Ward Drive, Ste 101, Conway, AR 72034 | 2017-02-07 |
| 1235518796 | Ryan Burzese | Dentist | 1936 Aspen Ct, Conway, PA 15027-1363 | 2015-05-29 |
| 1528480902 | Conway Village Dental | Dentist | 21a Poliquin Drive, Conway, NH 03818 | 2014-01-20 |
| 1528333952 | Little River Medical Center, Inc. | Dentist | 504 Church St, Conway, SC 29526-4822 | 2012-03-19 |
| 1487937629 | Centerstone Family Dentistry, Pllc | Dentist | 2235 Dave Ward Dr, Suite 103, Conway, AR 72034-7039 | 2011-09-23 |
| 1841514262 | Little River Medical Center, Inc. | Dentist | 3001 4th Ave, Conway, SC 29527-5914 | 2010-03-15 |
| Find all providers in CONWAY | ||||
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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.