Alex Abbott, DDS
Individual provider Active NPI General Practice Dentistry · Little Rock, AR
NPI 1003554973 · NPPES record last updated Dec 2, 2025
Key facts
- NPI
- 1003554973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4615 (AR)
- Practice address
- 4301 W Markham St # 624
Little Rock, AR 72205-7199 - Phone
- (501) 526-7619
- NPI assigned
- May 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220802001872 | TX | Order and Referring Only - Dentist |
7416339833 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4615 | AR | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4615 | AR | Yes |
Addresses
Primary practice location
4301 W Markham St # 624
Little Rock, AR 72205-7199
Mailing address
3012 N Hills Blvd Apt 4217
North Little Rock, AR 72116-9446
Phone (501) 520-1472
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All providers in Little Rock, AR · General Practice Dentistry in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.