Individual provider Active NPI

Sloan Boyd Ashabranner, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Jonesboro, AR
National Provider Identifier
1114248655
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
3770 Issued in AR
Practice address
620 Southwest Dr
Jonesboro, AR 72401-5859
Phone
(870) 230-0601
Fax
(870) 230-0453
NPI assigned
Jun 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.032082 IL
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 3770 AR Primary
General Practice Dentistry 1223G0001X 3770 AR

Addresses

Primary practice location

620 Southwest Dr
Jonesboro, AR 72401-5859

Mailing address

620 Southwest Dr
Jonesboro, AR 72401-5859
Phone (870) 230-0601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.032082ILMDDentist
3770ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ashabranner Oral and Facial Surgery PLLC CurrentSince Nov 9, 2025 Accepting new patients

Locations

620 Southwest Dr
Jonesboro, AR 72401
Phone (479) 871-2051

Interoperability endpoints

  • Direct secure messaging: sashabranner18553@uihealth.direct-ci.com
  • Direct secure messaging: sashabranner366975@direct.hfhs.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1114248655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SOUTHWEST DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015859",
            "telephone_number": "870-230-0601",
            "fax_number": "870-230-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SOUTHWEST DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015859",
            "telephone_number": "870-230-0601",
            "fax_number": "870-230-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHABRANNER",
        "first_name": "SLOAN",
        "middle_name": "BOYD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032082",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AR",
            "license": "3770",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3770",
            "primary": false
        }
    ],
    "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 Nov 6, 2025; 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.