NPIMap

Organization Active NPI

David Ashley MD DMD Oral Surgery Group, a Professional Dental Corp

Doing business as Oral Surgery and Wisdom Teeth of Pine Bluff

  • Oral and Maxillofacial Surgery (Dentist)
  • Pine Bluff, AR
National Provider Identifier
1043152275
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DAVID ASHLEY MD DMD ORAL SURGERY GROUP, A PROFESSIONAL DENTAL CORP
Doing business as
Oral Surgery and Wisdom Teeth of Pine Bluff
Practice address
4100 W 28TH Ave
Pine Bluff, AR 71603-4726
Phone
(337) 541-2260
NPI assigned
Apr 7, 2026
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
David Houston Ashley, MD, DMD
Title
Member
Phone
(501) 208-1593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

4100 W 28TH Ave
Pine Bluff, AR 71603-4726

Mailing address

813 Shades Creek Pkwy Ste 205
Birmingham, AL 35209-4512

Other names 1

  • Oral Surgery and Wisdom Teeth of Pine Bluff Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David Ashley MD DMD Oral Surgery Group a Professional Dental Corporation19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1043152275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 SHADES CREEK PKWY STE 205",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 28TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716034726",
            "telephone_number": "337-541-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ASHLEY MD DMD ORAL SURGERY GROUP, A PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HOUSTON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "501-208-1593",
        "authorized_official_credential": "MD, DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral Surgery and Wisdom Teeth of Pine Bluff",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.

Verify at the official NPI Registry.