AR DENTAL & TMJ - LITTLE ROCK, LLC (NPI# 1508114067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508114067 |
| Entity Type | Organization |
| Organization Name | AR DENTAL & TMJ - LITTLE ROCK, LLC |
| Practice Address |
12018 Chenal Pkwy Little Rock AR 72211-2759 |
| Practice Telephone | 5012251577 |
| Practice Fax Number | 5012194780 |
| Mailing Telephone | 5012251577 |
| Mailing Fax Number | 5012194780 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |
| Authorized Official Name | MS. ERIN CUPAN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 5012251577 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3396 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 192473680 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780985978 | Ar Dental & Tmj - Little Rock, LLC | Dentist | 12018 Chenal Pkwy, Little Rock, AR 72211-2759 | 2010-11-04 |
| Street Address |
12018 CHENAL PKWY |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-2759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780985978 | Ar Dental & Tmj - Little Rock, LLC | Dentist | 12018 Chenal Pkwy, Little Rock, AR 72211-2759 | 2010-11-04 |
| 1457899866 | Apex Specialty | Clinic/Center | 12018 Chenal Pkwy, Little Rock, AR 72211-2759 | 2017-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| 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 |
|---|---|---|---|---|
| 1003052234 | Robert E. Anderson, Dds, Pa | Dentist | 1 Saint Vincent Cir Ste 240, Little Rock, AR 72205-5407 | 2008-12-17 |
| 1063519676 | Hugh Franklin Burnett IIi | Dentist | 10310 W Markham, Suite 300, Little Rock, AR 72205 | 2006-09-19 |
| 1104935782 | Charles Ed Knight | Dentist | 9601 Lile Dr Ste 240, Little Rock, AR 72205-6342 | 2006-08-29 |
| 1407869399 | Ernest Stanley Woodard | Dentist | 11300 Cantrell Rd Ste 303, Little Rock, AR 72212-1844 | 2006-08-14 |
| 1417989112 | Scott Alan Schoen | Dentist | 5400 Highland Dr, Little Rock, AR 72223-2002 | 2006-07-06 |
| 1124074695 | Anthony L. Tortorich | Dentist | 4220 N Rodney Parham Rd, Suite 103, Little Rock, AR 72212-2453 | 2006-05-26 |
| 1366008781 | Arkansas Maxillofacial Surgery Center Pllc | Dentist | 5400 Highland Dr, Little Rock, AR 72223-2002 | 2019-05-10 |
| 1760843247 | University of Arkansas for Medical Sciences | Dentist | 4301 W Markham St # 624, Little Rock, AR 72205 | 2016-03-11 |
| 1679900138 | Arkansas Maxillofacial Surgery Center | Dentist | 5400 Highland Dr, Little Rock, AR 72223-2002 | 2013-09-30 |
| 1174816706 | C. Ed Knight, D.d.s., P.a. | Dentist | 9601 Lile Dr Ste 240, Little Rock, AR 72205-6342 | 2011-05-16 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
Please comment or provide details below to improve the information on AR DENTAL & TMJ - LITTLE ROCK, LLC.
| 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.