Active NPI
Ola Pediatric Dentistry, PLLC
- Pediatric Dentistry
- Jonesboro, AR
National Provider Identifier
1003738071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- OLA PEDIATRIC DENTISTRY, PLLC
- Practice address
- 1750 Hill Park Drive
Jonesboro, AR 72401 - Phone
- (573) 344-6047
- NPI assigned
- Jul 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Panagiota Sandoval, DDS
- Title
- Pediatric Dentist
- Phone
- (573) 344-6047
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
1750 Hill Park Drive
Jonesboro, AR 72401
Mailing address
1750 Hill Park Drive
Jonesboro, AR 72401
National Provider Directory
National Provider DirectoryLocations
1750 Hill Park Dr
Jonesboro, AR 72401
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Jonesboro, AR
- NPI 1467946434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785283200000",
"number": "1003738071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 HILL PARK DRIVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 HILL PARK DRIVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72401",
"telephone_number": "573-344-6047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLA PEDIATRIC DENTISTRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-29",
"last_updated": "2026-07-29",
"certification_date": "2026-07-14",
"status": "A",
"authorized_official_last_name": "SANDOVAL",
"authorized_official_first_name": "PANAGIOTA",
"authorized_official_title_or_position": "PEDIATRIC DENTIST",
"authorized_official_telephone_number": "573-344-6047",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.