Organization Active NPI

Teale Dentistry, PA

  • General Practice Dentistry
  • Malvern, AR
National Provider Identifier
1093145252
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3821 Issued in AR
Legal business name
TEALE DENTISTRY, PA
Practice address
927 S Main St
Malvern, AR 72104-5220
Phone
(501) 337-9559
NPI assigned
Nov 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Authorized official

Name
Dr. Matthew James Teale, DDS
Title
Dentist
Phone
(501) 337-9559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3821 AR Primary

Addresses

Primary practice location

927 S Main St
Malvern, AR 72104-5220

Mailing address

927 S Main St
Malvern, AR 72104-5220
Phone (501) 337-9559

Other names 1

  • efird and teale dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1093145252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 S MAIN ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721045220",
            "telephone_number": "501-337-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 S MAIN ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721045220",
            "telephone_number": "501-337-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEALE DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "TEALE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "501-337-9559",
        "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": "3821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "efird and teale dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malvern, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.