AR DENTAL & TMJ - LITTLE ROCK, LLC (NPI# 1780985978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780985978 |
| Entity Type | Organization |
| Organization Name | AR DENTAL & TMJ - LITTLE ROCK, LLC |
| Practice Address |
12018 Chenal Pkwy Little Rock AR 72211-2759 |
| Practice Telephone | 5012251577 |
| Practice Fax Number | 5012194780 |
| Mailing Telephone | 5012251577 |
| Mailing Fax Number | 5012194780 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2012-03-21 |
| Authorized Official Name | MISS ERIN CUPAN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 5012251577 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
2268 | AR | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3966 | AR | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 180256679 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508114067 | Ar Dental & Tmj - Little Rock, LLC | Dentist | 12018 Chenal Pkwy, Little Rock, AR 72211-2759 | 2012-08-15 |
| Street Address |
12018 CHENAL PKWY |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-2759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457899866 | Apex Specialty | Clinic/Center | 12018 Chenal Pkwy, Little Rock, AR 72211-2759 | 2017-02-06 |
| 1508114067 | Ar Dental & Tmj - Little Rock, LLC | Dentist | 12018 Chenal Pkwy, Little Rock, AR 72211-2759 | 2012-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332728 | Michael Drake | Dentist | 9601 Baptist Health Dr Ste 104, Little Rock, AR 72205-6323 | 2020-06-29 |
| 1821567389 | Cantrell Dental | Dentist | 14923 Cantrell Rd, Little Rock, AR 72223-4255 | 2018-11-14 |
| 1992291918 | Darryl K Ragland Dds Pa | Dentist | 11414 W Markham St Ste A, Little Rock, AR 72211-2847 | 2018-07-02 |
| 1114479136 | Arkansas Dental Professionals, Mongrain, P.a | Dentist | 5500 W Markham St, Little Rock, AR 72205-3412 | 2016-10-25 |
| 1467801233 | Joshua Ludford | Dentist | 13600 David O Dodd Rd, Little Rock, AR 72210-2746 | 2016-06-12 |
| 1316392012 | George E Gillian Dds | Dentist | 9700 W Markham St, Little Rock, AR 72205-2124 | 2016-04-30 |
| 1154789121 | Michael L Pohlkamp Dds Pa | Dentist | 16115 Saint Vincent Way Ste 110, Little Rock, AR 72223-3001 | 2016-02-05 |
| 1952772584 | Bethel Burris Oliver Pllc | Dentist | 401 S Bowman Rd, Little Rock, AR 72211-3452 | 2015-10-08 |
| 1184011611 | Richard C Keech, Dds P.a. | Dentist | 7206 F St, Little Rock, AR 72205-2621 | 2015-04-22 |
| 1841690633 | Cantrell West Dental | Dentist | 14309 Cantrell Rd Ste 6, Little Rock, AR 72223-4230 | 2014-08-28 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
Please comment or provide details below to improve the information on AR DENTAL & TMJ - LITTLE ROCK, LLC.
| 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.