HENRY JOSEPH UDOUJ III (NPI# 1407996697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407996697 |
| Entity Type | Individual |
| Full Name | HENRY JOSEPH UDOUJ III |
| Credential | D.D.S. |
| Practice Address |
2101 Dallas St Fort Smith AR 72901-6823 |
| Mailing Address |
2504 Athlone Rd Fort Smith AR 72903-3351 |
| Practice Telephone | 4797823021 |
| Practice Fax Number | 4797822667 |
| Mailing Telephone | 4797823021 |
| Mailing Fax Number | 4797822667 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3205 | AR | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
147 | OK | Dental Providers |
| Street Address |
2101 DALLAS ST |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-6823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972643179 | Henry J Udouj, D.d.s., P.a. | Dentist | 2101 Dallas St, Fort Smith, AR 72901-6823 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275697500 | Bill Pickard, D.d.s., M.s., P.a. | Dentist | 4400 Rogers Ave Ste C, Fort Smith, AR 72903-3179 | 2006-12-21 |
| 1386717973 | David Malcolm Harper | Dentist | 3015 Free Ferry Rd, Fort Smith, AR 72903-1713 | 2006-11-15 |
| 1336554831 | Arkansas Orthodontic Specialist Inc | Dentist | 8309 Phoenix Ave, Fort Smith, AR 72903-6141 | 2014-06-24 |
| 1649619321 | Benjamin G. Burris, Dds, Mds, Pa | Dentist | 3015 Free Ferry Rd, Fort Smith, AR 72903-1713 | 2013-06-17 |
| 1972643179 | Henry J Udouj, D.d.s., P.a. | Dentist | 2101 Dallas St, Fort Smith, AR 72901-6823 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605908 | Shannon Candid Arkansas, P.a. | Dentist | 900 Se 5th St Ste 22t, Bentonville, AR 72712-6090 | 2020-09-23 |
| 1982229985 | Kolin E. Weaver, Dds, Ms, Inc. | Dentist | 2316 Red Wolf Blvd Ste C, Jonesboro, AR 72401-6360 | 2020-06-15 |
| 1447875729 | Wardlaw Orthodontics, P.a. | Dentist | 8315 Cantrell Rd Ste 100, Little Rock, AR 72227-2354 | 2020-06-11 |
| 1659922904 | Hodge Orthodontics | Dentist | 2924 Kavanaugh Blvd, Little Rock, AR 72205-3719 | 2019-09-26 |
| 1700346772 | Ashcraft Orthodontics Pllc | Dentist | 23 Shackleford Dr Ste A, Little Rock, AR 72211-2990 | 2019-03-25 |
| 1518434398 | Michelle Lien Clinton Munoz | Dentist | 1917 Reveille Cir, Jacksonville, AR 72076-9157 | 2018-10-30 |
| 1376057562 | Freeman Mobile Orthodontics, Pllc | Dentist | 803 Quandt Ave, Springdale, AR 72764-5352 | 2017-11-27 |
| 1265954432 | David Bell | Dentist | 1455 Harrison St, Batesville, AR 72501-7220 | 2017-07-10 |
| 1467984716 | Axpm-harrison Pllc | Dentist | 303 Eureka Ave, Berryville, AR 72616-3833 | 2017-03-28 |
| 1740720101 | Clayton L Owen Dds, Pa | Dentist | 1306 S Pine St, Cabot, AR 72023-3812 | 2017-03-06 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
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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.