CENTERSTONE FAMILY DENTISTRY, PLLC (NPI# 1487937629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487937629 |
| Entity Type | Organization |
| Organization Name | CENTERSTONE FAMILY DENTISTRY, PLLC |
| Practice Address |
2235 Dave Ward Dr Suite 103 Conway AR 72034-7039 |
| Practice Telephone | 5019320192 |
| Practice Fax Number | 5019320211 |
| Mailing Telephone | 5019320192 |
| Mailing Fax Number | 5019320211 |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |
| Authorized Official Name | DR. ROBERT CARLISLE (OWNER/ GENERAL DENTIST) |
| Authorized Official Telephone | 5019320192 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | Y |
| Parent Organization Name | ROBERT R. CARLISLE, D.D.S., PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
2235 DAVE WARD DR SUITE 103 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-7039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790027449 | J J J Smith Inc | Pharmacy | 2235 Dave Ward Dr, Ste 108, Conway, AR 72034-7039 | 2013-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| 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 |
| 1841514262 | Little River Medical Center, Inc. | Dentist | 3001 4th Ave, Conway, SC 29527-5914 | 2010-03-15 |
| 1437473857 | Little River Medical Center, Inc. | Dentist | 1101 Snowhill Dr, Conway, SC 29526-3665 | 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.