BOLD SMILES, PLLC (NPI# 1629571930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629571930 |
Entity Type | Organization |
Organization Name | BOLD SMILES, PLLC |
Practice Address |
407 Llama Dr Ste 101 Searcy AR 72143-4736 |
Practice Telephone | 5012797779 |
Mailing Telephone | 5012797779 |
Enumeration Date | 2018-03-13 |
Last Update Date | 2018-03-13 |
Authorized Official Name | JASON BOLDING (OWNER) |
Authorized Official Telephone | 5012797779 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Street Address |
407 LLAMA DR STE 101 |
City | SEARCY |
State | AR |
Zip Code | 72143-4736 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679188874 | Jessalyn Elise Tackett | Pharmacist | 200 E. Race Ave, Searcy, AR 72143 | 2020-09-14 |
1528697620 | Edward Lee | Student in an Organized Health Care Education/Training Program | 3214 E Race St, Searcy, AR 72143 | 2020-04-02 |
1700420338 | Rebecca Joanne Yauilla | Family Medicine | 3214 Race Avenue, Searcy, AR 72143 | 2019-11-06 |
1558913517 | The Forge Counseling Group LLC | Counselor | 505 S Elm St Suite C, Searcy, AR 72143 | 2019-07-10 |
1023584620 | Lisa Farley | Speech-Language Pathologist | 2918 Hawkins Drive, Searcy, AR 72143 | 2018-10-22 |
1144761719 | Christie Brooks | Dietitian, Registered | 91 Lakeway Drive, Searcy, AR 72143 | 2017-03-16 |
1639626112 | Kelly Walls | Pharmacist | 805 E Park Ave, Searcy, AR 72143 | 2016-09-01 |
1417316480 | Zach Wickes | Student in an Organized Health Care Education/Training Program | 506 N Van, Searcy, AR 72143 | 2016-02-18 |
1982081592 | Bethel Burris Oliver Pllc | Dentist | 3245 E. Race St, Searcy, AR 72143 | 2015-05-04 |
1053798116 | Ronnie Harlow | Rehabilitation Practitioner | 1005 East Park, Jim Citty Football and Athletic Training Facility, Searcy, AR 72143 | 2015-04-28 |
Find all providers in zip 72143 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669521472 | C. Michael Wise Dds Pa | Clinic/Center | 333 E Market Ave, Searcy, AR 72143-5429 | 2007-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417557539 | David M Robbins Dds | Clinic/Center | 241 Hobson Ave, Hot Springs, AR 71913-3724 | 2020-10-28 |
1710585856 | Frank A Brooks IIi Dds Pa | Clinic/Center | 2102 First National Dr, Harrison, AR 72601-6234 | 2020-10-12 |
1902412018 | Cave Springs Dental | Clinic/Center | 260 S Gleneagle Dr Ste C, Cave Springs, AR 72718-6011 | 2020-09-23 |
1134733876 | Bradley R Crossfield Dds Pllc | Clinic/Center | 880 East Centerton Blvd, Suite A, Centerton, AR 72719 | 2020-09-01 |
1275143950 | Brad Wheelis Family Dentistry Pllc | Clinic/Center | 1218 East Main St, Melbourne, AR 72556 | 2020-08-06 |
1962012385 | Cynthia Landry Dds | Clinic/Center | 446 Miles St, Lepanto, AR 72354-2618 | 2020-08-01 |
1548878077 | Douglas M. Matthews,d.d.s.,p.a. | Clinic/Center | 350 E College St, Batesville, AR 72501-5624 | 2020-07-21 |
1407473481 | Simon Family Dentistry | Clinic/Center | 191 Highway 64 E, Alma, AR 72921-3306 | 2020-06-25 |
1912529504 | Dover Dental D.d.s., P.a. Dba Dover Family Dentistry | Clinic/Center | 400 S College St Ste 4, Mountain Home, AR 72653-3991 | 2020-05-18 |
1548881550 | Christi Weaver Shepard Dds, Pa | Clinic/Center | 4200 N Rodney Parham Rd Ste 200, Little Rock, AR 72212-2460 | 2020-04-30 |
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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.