A Matthew Nguyen DDS Corp.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

A MATTHEW NGUYEN DDS CORP.

Doing business as

Sheridan Family Dentistry

Practice address

6712 Hilo Ave
Bryant, AR 72019-8841

Phone

(501) 765-7689

NPI assigned

May 5, 2022

Last updated

May 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peggy Red

Title

Manager

Phone

(501) 847-9191

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sheridan Family Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan Nguyen, D.D.S.

  • General Practice Dentistry
  • Bryant, AR
  • NPI 1689129447
  NPD

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1154067999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6712 HILO AVE",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720198841",
            "telephone_number": "501-765-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6712 HILO AVE",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720198841",
            "telephone_number": "501-765-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A MATTHEW NGUYEN DDS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "RED",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "501-847-9191"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL OFFICE",
            "identifier": "4131",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheridan Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Diane Abernathy
• Ashlynn Camille Abshire
• Brent D Adams
• Cynthia Hobson Adams, M.S. CCC-SLP
• Krista Janai Adams, DPT, PT

• Dental Clinic/Center in Bryant, AR
• Providers in Bryant, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.