DR. BRADLEY PHARES


Address: 1090 Arnold Dr, Jacksonville, AR 72099-4933
Phone: 5019877304

DR. BRADLEY PHARES (NPI# 1568918837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568918837
Entity Type Individual
Full Name DR. BRADLEY PHARES
Credential DDS
Practice Address 1090 Arnold Dr
Jacksonville
AR 72099-4933
Mailing Address 1090 Arnold Dr
Little Rock Afb
AR 72099-4933
Practice Telephone 5019877304
Mailing Telephone 5019877304
Enumeration Date 2016-08-28
Last Update Date 2020-03-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
4237 AR Dental Providers

Office Location

Street Address 1090 ARNOLD DR
City JACKSONVILLE
State AR
Zip Code 72099-4933

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003319880 Isaac Clayton Talbert Preventive Medicine 1090 Arnold Dr, Jacksonville, AR 72099 2018-03-17
1851806350 Dewayne Lamon Sora Social Worker 1090 Arnold Dr, Jacksonville, AR 72099-4933 2017-12-06
1134633654 Brandy Shannon Williams Physician Assistant 1090 Arnold Dr, Jacksonville, AR 72099-4933 2017-11-20
1679025795 Claudia Irene Sloan Military Health Care Provider 1090 Arnold Dr, Jacksonville, AR 72099-4933 2016-10-25
1730594342 Tameka Henry Nurse Practitioner 1090 Arnold Dr, Jacksonville, AR 72099-7274 2014-06-23
1841559960 Lenard Tol Physician Assistant 1090 Arnold Dr, Jacksonville, AR 72099-4933 2012-05-09
1013282086 Tanya Nashel Miller Counselor 1090 Arnold Dr, Jacksonville, AR 72099-4933 2012-03-09
1154480622 Amanda Gail Bellamy Pharmacist 1090 Arnold Dr, Jacksonville, AR 72099-4933 2006-12-08
1336139385 Leonardo Tato Physician Assistant 1090 Arnold Dr, Jacksonville, AR 72099-0001 2005-10-21
1669469094 Jordan Kieliszewski Social Worker 1090 Arnold Dr, Jacksonville, AR 72099 2005-09-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356876577 Little Rock Air Force Base Eye Care Optometrist 6th Street, Bldg 787, Little Rock Air Force Base, Little Rock, AR 72099 2017-04-25
1841636206 National Vision Optical Technician/Technologist Bldg 787 6th St., Little Rock, AR 72099 2013-05-13
1134341076 Keisha Denythia Henry Psychologist 314 Medical Group, Life Skills Support Center, 1090 Arnold Drive, Little Rock Afb, AR 72099 2007-05-02
1699213454 Teryn Ardell Freeman Physician Assistant 19th Medical Group, 1090 Arnold Drive, Little Rock, AR 72099 2017-02-01
1730314899 Andrew Chichick Iv Military Health Care Provider 1090 Arnold Drive, 19 Amds/sgpf, Little Rock Afb, AR 72099 2009-05-19
1427316488 Sunland Optical Co., Inc. Eyewear Supplier (Equipment, not the service) 6 Th St Bldg 787, Little Rock Afb, AR 72099-0001 2012-04-27
1700174828 Lewis Mark Wiggins Family Medicine 19th Medical Group, Jacksonville, AR 72099-0001 2011-07-11
1104052158 Seth Thomas Tolliver Nurse Practitioner 101 Master Sergeant Dan Wassom, Little Rock Afb, AR 72099-0001 2009-06-04
1316171994 Jeff J. Sandoval Military Health Care Provider 19 Amds Sgopf, 1090 Arnold Dr, Little Rock Afb, AR 72099-0001 2009-05-11
1366610198 Robert Anthony Olivi Jr. Physician Assistant 19th Medical Group 1090 Arnold Drive, Little Rock Air Force Base, AR 72099-0001 2008-02-14
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962018424 Sydney Fowler Dentist 12276 San Jose Blvd Ste 314, Jacksonville, FL 32223-8632 2020-09-21
1871106260 Comfortable Care Dental Health Professionals, P.a. Dentist 4445 Town Center Pkwy, Jacksonville, FL 32246-8565 2020-08-26
1831710771 Mark William Russell Dentist 461 Western Blvd Ste 104, Jacksonville, NC 28546-7637 2020-05-01
1205476496 Point Meadows Dental Center, Inc. Dentist 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 2020-01-15
1659923118 San Jose Aspen Pllc Dentist 10502 San Jose Blvd Ste B, Jacksonville, FL 32257-6209 2019-07-15
1326603176 Evens Family Dental Dentist 13107 Atlantic Blvd, Jacksonville, FL 32225-7127 2019-05-07
1487123006 Susan Prater Kudlats, D.m.d, P.a. Dentist 12620 Beach Blvd Ste 18, Jacksonville, FL 32246-7130 2018-11-14
1043792534 Atlantic Dentistry Pa Dentist 13474 Atlantic Blvd Ste 109, Jacksonville, FL 32225-0100 2018-08-31
1447738620 Argyle Dental Pllc Dentist 6001 Argyle Forest Blvd Ste 4, Jacksonville, FL 32244-6127 2018-07-31
1427534445 Sandeep Chunduru Dentist 571 Yopp Rd Ste 308, Jacksonville, NC 28540-3683 2018-07-12
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 72099

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Dataset Information

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.

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