NPIMap

Organization Active NPI

Weekend Dental Clinic

Doing business as Charles G. Liggett, Jr. DDS, PLLC

  • General Practice Dentistry
  • Fort Smith, AR
National Provider Identifier
1083869911
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3478 Issued in AR
Legal business name
WEEKEND DENTAL CLINIC
Doing business as
Charles G. Liggett, Jr. DDS, PLLC
Practice address
5111 Rogers Ave
Suite 207
Fort Smith, AR 72903-2047
Phone
(479) 719-0753
NPI assigned
Nov 19, 2008
Last updated
Nov 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Authorized official

Name
Dr. Charles Gregory Liggett Jr., DDSNPI 1194803148
Title
Owner
Phone
(479) 719-0753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3478 AR Primary

Addresses

Primary practice location

5111 Rogers Ave
Suite 207
Fort Smith, AR 72903-2047

Mailing address

3200 Rogers Ave
Suite 111
Fort Smith, AR 72903-2954
Phone (479) 782-0080

Other identifiers 1

IdentifierTypeStateIssuer
152884608MedicaidAR

Other names 1

  • Charles G. Liggett, Jr. DDS, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

5111 Rogers Ave
Ste 207
Fort Smith, AR 72903
Phone (479) 719-0753

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1083869911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 ROGERS AVE",
            "address_2": "SUITE 111",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032954",
            "telephone_number": "479-782-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 ROGERS AVE",
            "address_2": "SUITE 207",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032047",
            "telephone_number": "479-719-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEEKEND DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "LIGGETT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-719-0753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152884608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles G. Liggett, Jr. DDS, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.