Organization Active NPI

Corey Inboden DDS, PLLC

  • Dental Clinic/Center
  • Fayetteville, AR
National Provider Identifier
1114638640
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
COREY INBODEN DDS, PLLC
Practice address
179 N Church Ave
Fayetteville, AR 72701-5265
Phone
(479) 442-6512
NPI assigned
Dec 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Dr. William Corey Inboden, DDSNPI 1326499369
Title
President
Phone
(870) 219-4046

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

179 N Church Ave
Fayetteville, AR 72701-5265

Mailing address

2350 E Golden Oaks Dr
Fayetteville, AR 72703-3152
Phone (870) 219-4046

National Provider Directory

National Provider Directory

Locations

179 N Church Ave
Fayetteville, AR 72701
Phone (479) 442-6512

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1114638640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 E GOLDEN OAKS DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033152",
            "telephone_number": "870-219-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 N CHURCH AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015265",
            "telephone_number": "479-442-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY INBODEN DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "INBODEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "COREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-219-4046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.