SUMMIT DENTAL, INC. (NPI# 1720417314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720417314 |
| Entity Type | Organization |
| Organization Name | SUMMIT DENTAL, INC. |
| Practice Address |
12120 Col Glenn Rd Suite 6600 Little Rock AR 72210-2824 |
| Practice Telephone | 5012270500 |
| Practice Fax Number | 5012270503 |
| Mailing Telephone | 5012270500 |
| Mailing Fax Number | 5012270503 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |
| Authorized Official Name | PAM HALBROOK (ADMINISTRATOR) |
| Authorized Official Telephone | 5012270500 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT DENTAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3917 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | LICENSE 3917 | 1780939678 | 01 |
| Street Address |
12120 COL GLENN RD SUITE 6600 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72210-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487290888 | John Hunter Bramlitt | Counselor | 12320 I-30, Little Rock, AR 72210 | 2019-11-20 |
| 1972159267 | Arkansas Baptist Children's Homes and Family Ministries | Counselor | 12400 I-30, Little Rock, AR 72210 | 2019-08-13 |
| 1952956864 | Hanrietta Evans | Behavior Technician | Youth Home Inc, 20302 Colonel Glenn Rd, Little Rock, AR 72210 | 2019-08-07 |
| 1821597287 | Deanna Smith | Counselor | 12320 I-30 Frontage Road, Little Rock, AR 72210 | 2018-02-12 |
| 1922485481 | Whitney Brown | Social Worker | 20400 Colonel Glenn, Little Rock, AR 72210 | 2015-05-04 |
| 1679978191 | Jennifer Black | Counselor | 20302 Col Glenn Road, Little Rock, AR 72210 | 2014-10-27 |
| 1831593896 | James William Takach | Family Medicine | 14519 Wimbledon Loop, Little Rock, AR 72210 | 2014-10-20 |
| 1811319734 | Ben Malone | Case Manager/Care Coordinator | 20400 Col Glenn Road, Little Rock, AR 72210 | 2014-01-12 |
| 1487924296 | Tara Brown | Case Manager/Care Coordinator | 20302 Colonel Glenn Rd., Little Rock, AR 72210 | 2012-01-10 |
| 1972889061 | D. Rachelle Rial | Case Manager/Care Coordinator | 20400 Col Glenn Rd., Little Rock, AR 72210 | 2011-11-02 |
| Find all providers in zip 72210 | ||||
| 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 |
|---|---|---|---|---|
| 1730711227 | Dentalways of Little Rock Pllc | Dentist | 1415 Breckenridge Dr Ste D, Little Rock, AR 72227-4864 | 2020-02-12 |
| 1053829887 | Yin Hildesheim, Dmd, P.a. | Dentist | 10912 Colonel Glenn Rd Ste 3500, Little Rock, AR 72204-8241 | 2018-01-15 |
| 1801328240 | John Douglas Pate | Dentist | 1001 S Bowman Rd Ste 1, Little Rock, AR 72211-3710 | 2017-04-03 |
| 1588010433 | Wesley David Buchman | Dentist | 10319 W Markham St Ste 600, Little Rock, AR 72205-4559 | 2016-05-10 |
| 1831567189 | Yin Hildesheim | Dentist | 28 Bella Rosa Ct, Little Rock, AR 72223-4548 | 2015-09-03 |
| 1487031969 | Jackie L. Smith, Dds, Pllc | Dentist | 6315 Ranch Dr., Little Rock, AR 72223-0000 | 2015-05-04 |
| 1629461884 | Hd Dental, Pa Dba Smile Dental | Dentist | 14810 Cantrell Rd, Little Rock, AR 72223-4244 | 2015-03-12 |
| 1710393517 | Chase Conway Diemer | Dentist | 15208 Bauch Ln, Little Rock, AR 72206-5787 | 2014-07-01 |
| 1588087993 | Austin Family Dentisty of Little Rock | Dentist | 11211 Cantrell Rd, Ste 200, Little Rock, AR 72212-1819 | 2014-01-22 |
| 1326487737 | Bradley Ray Crossfield | Dentist | 1001 S Bowman Road, Ste 1, Little Rock, AR 72211 | 2013-06-19 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72210 |
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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.