Lowell Family Dental

Primary specialty

DentistTaxonomy code 122300000X

License

3142 Issued in AR

Legal business name

LOWELL FAMILY DENTAL

Practice address

125 A Presidential Dr
Lowel, AR 72745-9608

Phone

(479) 770-6400

Fax

(479) 770-6435

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Shannon Wright, DDS

Title

Owner/Proprietor

Phone

(479) 770-6400

Specialties & licenses 1

Addresses

Other names 1

• Shannon G Wright DDS PA Other name

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144304221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 A PRESIDENTIAL DR",
            "city": "LOWEL",
            "state": "AR",
            "postal_code": "727459608",
            "telephone_number": "479-770-6400",
            "fax_number": "479-770-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 A PRESIDENTIAL DR",
            "city": "LOWEL",
            "state": "AR",
            "postal_code": "727459608",
            "telephone_number": "479-770-6400",
            "fax_number": "479-770-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWELL FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER/PROPRIETOR",
        "authorized_official_telephone_number": "479-770-6400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "3142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shannon G Wright DDS PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.