Faith Dental Clinic

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FAITH DENTAL CLINIC

Practice address

8211 Geyer Springs Rd
Little Rock, AR 72209-4952

Phone

(501) 562-1665

Fax

(501) 562-1667

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lilliam Margarita Prado, D.D.S

Title

President

Phone

(501) 562-1665

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1124285689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 GEYER SPRINGS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722094952",
            "telephone_number": "501-562-1665",
            "fax_number": "501-562-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 GEYER SPRINGS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722094952",
            "telephone_number": "501-562-1665",
            "fax_number": "501-562-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "LILLIAM",
        "authorized_official_middle_name": "MARGARITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-562-1665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163107608",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "B/S 5Y875",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mattison Grace Fairchild, BS
• Savana Jentry Fairchild, PHARM.D.
• Kiara Jasmine Fairman
• Alee Fairris, OTR/L
• Charlotte Faison
• Marielle Falki
• Dale Thomas Fallis
• Fallon Davis, D.D.S.
• Nathan T Falls, MD
• Tiara Falls

• Dentist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.