BETHEL BURRIS OLIVER PLLC (NPI# 1952772584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952772584 |
| Entity Type | Organization |
| Organization Name | BETHEL BURRIS OLIVER PLLC |
| Other Organization Name | ARKANSAS DENTISTRY AND BRACES |
| Practice Address |
401 S Bowman Rd Little Rock AR 72211-3452 |
| Mailing Address |
4375 N Vantage Dr Suite 202 Fayetteville AR 72703-4982 |
| Practice Telephone | 4794456335 |
| Practice Fax Number | 4793012878 |
| Mailing Telephone | 4794456335 |
| Mailing Fax Number | 4793012878 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |
| Authorized Official Name | BENJAMIN BURRIS (OWNER) |
| Authorized Official Telephone | 4794456335 |
| Authorized Official Credential | DDS, MDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Arkansas Dentistry and Braces | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952772592 | Bethel Burris Oliver Pllc | Dentist | 4901 Warden Rd, North Little Rock, AR 72116-7013 | 2015-10-08 |
| 1801267430 | Bethel Burris Oliver Pllc | Dentist | 4224 W Sunset Ave, Springdale, AR 72762-4806 | 2015-10-08 |
| 1982071510 | Bethel Burris Oliver Pllc | Dentist | 2906 Cypress Rd, Arkadelphia, AR 71923-4227 | 2015-08-31 |
| 1982081592 | Bethel Burris Oliver Pllc | Dentist | 3245 E. Race St, Searcy, AR 72143 | 2015-05-04 |
| 1942694351 | Bethel Burris Oliver Pllc | Dentist | 3500 West Black Forest Drive, Fayetteville, AR 72704-5906 | 2015-03-24 |
| 1922498062 | Bethel Burris Oliver Pllc | Dentist | 3333 S Pinnacle Hills Pkwy, Rogers, AR 72758-9100 | 2015-01-28 |
| 1386048189 | Bethel Burris Oliver Pllc | Dentist | 2901 Zion Rd, Fayetteville, AR 72703-5007 | 2014-10-22 |
| 1700290194 | Bethel Burris Oliver Pllc | Dentist | 4803 E Johnson Ave, Jonesboro, AR 72401-8413 | 2014-06-13 |
| 1366883886 | Bethel Burris Oliver Pllc | Dentist | 3710 E Main St Ste J, Blytheville, AR 72315-6882 | 2013-07-12 |
| 1801237326 | Bethel Burris Oliver Pllc | Dentist | 4941 N Washington St, Forrest City, AR 72335-7723 | 2013-07-12 |
| Street Address |
401 S BOWMAN RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-3452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417300674 | Komal Mehra | Dentist | 401 S Bowman Rd, Little Rock, AR 72211-3452 | 2016-07-22 |
| 1922451822 | Emily Kymer-cheek | Dentist | 401 S Bowman Rd, Little Rock, AR 72211 | 2016-07-15 |
| 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 | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875729 | Wardlaw Orthodontics, P.a. | Dentist | 8315 Cantrell Rd Ste 100, Little Rock, AR 72227-2354 | 2020-06-11 |
| 1659922904 | Hodge Orthodontics | Dentist | 2924 Kavanaugh Blvd, Little Rock, AR 72205-3719 | 2019-09-26 |
| 1700346772 | Ashcraft Orthodontics Pllc | Dentist | 23 Shackleford Dr Ste A, Little Rock, AR 72211-2990 | 2019-03-25 |
| 1881053361 | Axpm Sw Little Rock Pedo, Pllc | Dentist | 9100 Geyer Springs Rd, Little Rock, AR 72209-6425 | 2016-02-12 |
| 1730581588 | Axpm-wlr, LLC | Dentist | 16003 Chanel Parkway, Little Rock, AR 72223 | 2014-09-24 |
| 1033346143 | Vondran Orthodontics | Dentist | 4220 N Rodney Parham Rd Ste 310, Little Rock, AR 72212-2466 | 2009-06-16 |
| 1427236165 | Walker Orthodontics, Inc | Dentist | 200 South University Suite 200, Little Rock, AR 72116 | 2008-02-05 |
| 1114115219 | Bryan C Hiller | Dentist | 5100 Talley Rd, Ste 100, Little Rock, AR 72204-8032 | 2007-10-15 |
| 1326243973 | David E Walker Jr. | Dentist | 200 S University Ave Ste 200, Little Rock, AR 72205-5230 | 2007-06-15 |
| 1215149638 | Timmons Orthodontics | Dentist | 315 N Bowman Rd Ste 5, Little Rock, AR 72211-2735 | 2007-05-06 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
Please comment or provide details below to improve the information on BETHEL BURRIS OLIVER PLLC.
| 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.