INTEGRATIVE DENTAL SPECIALISTS PLLC (NPI# 1588176630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588176630 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE DENTAL SPECIALISTS PLLC |
| Practice Address |
3333 S Pinnacle Hills Pkwy Ste 140 Rogers AR 72758-8953 |
| Mailing Address |
Po Box 8880 Fayetteville AR 72703-0015 |
| Practice Telephone | 4797553000 |
| Mailing Telephone | 4797553000 |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |
| Authorized Official Name | DR. SCOTTY L BOLDING (PRESIDENT) |
| Authorized Official Telephone | 4797553000 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | Y |
| Parent Organization Name | ORAL & FACIAL SURGERY CENTER PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
3249 | AR | Dental Providers |
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
3960 | AR | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3025 | AR | Dental Providers |
| Y | 122300000X | Dentist | 3960 | AR | Dental Providers |
| Street Address |
3333 S PINNACLE HILLS PKWY STE 140 |
| City | ROGERS |
| State | AR |
| Zip Code | 72758-8953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| 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 |
|---|---|---|---|---|
| 1376821181 | Jonathan Andrew Blansett | Dentist | 2522 S Pinnacle Hills Pkwy Ste 102, Rogers, AR 72758-1415 | 2011-07-27 |
| 1699918540 | Marcus Black, D.d.s., P.a. | Dentist | 2109 South 54th Street, Rogers, AR 72758-8195 | 2009-04-08 |
| 1982883690 | Ann Hubbs Family Dentistry Inc | Dentist | 4001 W Financial Pkwy, Rogers, AR 72758-1449 | 2007-10-30 |
| 1477615367 | James Alfred Wolfe Jr. | Dentist | 624 W Poplar St, Rogers, AR 72756-4442 | 2006-12-15 |
| 1710058128 | Jeffrey Alan Smith | Dentist | 21410 136th Ave North Suite #109, Rogers, MN 55374 | 2006-11-10 |
| 1316046089 | David E Jeffery Jr. | Dentist | 214 South Third Street, Rogers, AR 72756 | 2006-09-21 |
| 1760499602 | Patricia Castellanos | Dentist | 200 N 24th St, Rogers, AR 72756-3591 | 2006-08-02 |
| 1265448484 | Karla Kay Gaines | Dentist | 802 N Dixieland Rd, Rogers, AR 72756 | 2006-07-31 |
| 1326062357 | Michael Trent Gubler | Dentist | 805 N 20th Pl, Suite 2, Rogers, AR 72756-3571 | 2006-07-26 |
| 1093704520 | Jill Heather Pucel-koopman | Dentist | 14115 James Rd, Suite 303, Rogers, MN 55374-9468 | 2005-10-18 |
| Find all providers in ROGERS | ||||
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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.