Southern Dental of Fort Smith PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3930 Issued in AR

Legal business name

SOUTHERN DENTAL OF FORT SMITH PLLC

Practice address

4208 Jenny Lind Rd
Fort Smith, AR 72901-7660

Phone

(479) 782-3400

NPI assigned

Jul 6, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William Reynolds Little, DDS

Title

Owner

Phone

(870) 243-4406

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• J Stephen Wilson, D.D.S.

  • General Practice Dentistry
  • Fort Smith, AR
  • NPI 1881722395
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530835200000",
    "number": "1003302761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E HUNTINGTON AVE STE E",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012900",
            "telephone_number": "870-243-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017660",
            "telephone_number": "479-782-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN DENTAL OF FORT SMITH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "REYNOLDS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-243-4406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sueli Malheiros Soto, SLPA
• Muhammad Ziad Souqiyyeh, M.D.
• South Central Medical Services, P.a.
• Emily Southammavong
• Southerland Chiropractic Clinic
• Southside Medical Clinic
• Southside Specialty Pharmacy
• Southwest Neurologicl Institute PA
• Southwest Neuroloigical Institute,PA
• Tracy Souza

• General Practice Dentistry in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.