DAVE WARD DENTAL CENTER (NPI# 1760049753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760049753 |
Entity Type | Organization |
Organization Name | DAVE WARD DENTAL CENTER |
Practice Address |
2235 Dave Ward Dr Ste 103 Conway AR 72034-7040 |
Practice Telephone | 5019320192 |
Mailing Telephone | 5019320192 |
Enumeration Date | 2019-05-24 |
Last Update Date | 2019-05-24 |
Authorized Official Name | SARA BURROW (INSURANCE ADMIN) |
Authorized Official Telephone | 5019401530 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Centerstone Dental Center | Doing Business As Name - Organization |
Street Address |
2235 DAVE WARD DR STE 103 |
City | CONWAY |
State | AR |
Zip Code | 72034-7040 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548642556 | Brooke Jeffus, Dds, Pllc | Dentist | 2235 Dave Ward Dr Ste 103, Conway, AR 72034-7040 | 2015-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
Find all providers in zip 72034 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003173634 | Kidz Choice Dental Pa | Clinic/Center | 2415 Prince St Ste 105, Conway, AR 72034-3746 | 2012-04-20 |
1528006186 | R. E. Hambuchen D.d.s. P.a. | Clinic/Center | 550 Chestnut St, Conway, AR 72032-5402 | 2006-06-03 |
1528608213 | Woods Dental Services Pllc | Clinic/Center | 810 Salem Rd, Conway, AR 72034-4800 | 2020-01-09 |
1902445778 | Sarah G. Clark, D.d.s., Pllc | Clinic/Center | 2425 Prince St Ste 1, Conway, AR 72034-3701 | 2019-12-27 |
1386295012 | Conway Family Dentistry, LLC | Clinic/Center | 611 Church St, Conway, SC 29526-4823 | 2019-09-24 |
1225525678 | Luke Adlong Dds Pllc | Clinic/Center | 2755 Prince St, Conway, AR 72034 | 2018-04-20 |
1457892341 | Seiter Family Dentistry, Pllc | Clinic/Center | 2157 Prince St, Conway, AR 72034-3737 | 2017-03-13 |
1871838128 | Matt Fulmer D.d.s., P.a. | Clinic/Center | 562 Locust St, Conway, AR 72034-5349 | 2012-11-27 |
1720248248 | Conway Village Dental Pllc | Clinic/Center | 7 Greenwood Ave, Suite 3, Conway, NH 03818-6130 | 2008-06-10 |
1659470383 | White Mountain Community Health Center | Clinic/Center | 298 White Mountain Hwy, Conway, NH 03818 | 2006-09-21 |
Find all providers in CONWAY |
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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.