DR. PATTON MARK MINKIN (NPI# 1326345323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326345323 |
| Entity Type | Individual |
| Full Name | DR. PATTON MARK MINKIN |
| Credential | DDS |
| Practice Address |
3996 N Frontage Rd Fayetteville AR 72703 |
| Mailing Address |
Po Box 8880 Fayetteville AR 72703-0015 |
| Practice Telephone | 4795823000 |
| Practice Fax Number | 4795822840 |
| Mailing Telephone | 4795823000 |
| Mailing Fax Number | 4795822840 |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2018-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
4232 | AR | Dental Providers |
| Street Address |
3996 N FRONTAGE RD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972964195 | Brittany Howell Williams | Dentist | 3996 N Frontage Rd, Fayetteville, AR 72703-5122 | 2016-03-15 |
| 1033515085 | Oral & Facial Surgery Center | Dentist | 3996 N Frontage Rd, Fayetteville, AR 72703-5122 | 2014-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689031023 | Thomas A. Sarna Dds,pllc | Dentist | 3533 North Shiloh Drive Suite 3, Fayetteville, AR 72703 | 2016-01-15 |
| 1518232727 | Matthew Mcshane | Dentist | 163 Van Ashe Loop, Fayetteville, AR 72703 | 2012-03-21 |
| 1568693877 | Jeffrey E Aycock | Dentist | 1031 Weiss Ave Ste 201, Fayetteville, NC 28305-5630 | 2009-08-04 |
| 1144342007 | Sylvester Own Smith IIi | Dentist | 1417 Fort Bragg Road, Fayetteville, NC 28305-4707 | 2007-04-04 |
| 1881710945 | Joshua Russell Cross | Dentist | 163 W Van Asche Loop, Fayetteville, AR 72703-4974 | 2007-03-21 |
| 1083772438 | Richard Clayton Adams | Dentist | 413 Owens Drive, Suite 102, Fayetteville, NC 28304 | 2006-12-05 |
| 1518037076 | James Buck Hays | Dentist | 2025 N Green Acres Rd, Fayetteville, AR 72703-2619 | 2006-11-09 |
| 1114006020 | Kenneth Ray Collins Jr. | Dentist | 100 Carnegie Pl, Suite 108, Fayetteville, GA 30214-3905 | 2006-11-02 |
| 1275618019 | Vitkus and Scutari Dds, PC | Dentist | 516 E Genesee St, Fayetteville, NY 13066-1537 | 2006-10-26 |
| 1730272402 | Dale A Childers | Dentist | 2409 Robeson Street, Fayetteville, NC 28305 | 2006-10-02 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on DR. PATTON MARK MINKIN.
| 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.