Active NPI
Scott C. George, D.D.S.
- Dentist
- Dardanelle, AR
National Provider Identifier
1154338960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3233
- Practice address
- 2533 State Highway 22 W
Dardanelle, AR 72834-8831 - Phone
- (479) 229-3891
- Fax
- (479) 229-2264
- NPI assigned
- Aug 2, 2006
- Last updated
- Dec 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3233 | AR | Primary |
| General Practice Dentistry | 1223G0001X | 3233 | AR |
Addresses
Primary practice location
2533 State Highway 22 W
Dardanelle, AR 72834-8831
Mailing address
PO Box 447
Dardanelle, AR 72834-0447
Phone (479) 229-3891
Other practice location 1
4039 Central Ave
Hot Springs, AR 71913-7208
Phone (501) 451-8683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151020000242 | AR | Order and Referring Only - Dentist | 6709883978 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3233 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dardanelle Family Dentistry | Dentist | Current | Accepting new patients |
Locations
2533 State Highway 22 W
Dardanelle, AR 72834
Phone (479) 229-3891
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Dardanelle, AR
- NPI 1508246489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1154338960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 447",
"city": "DARDANELLE",
"state": "AR",
"postal_code": "728340447",
"telephone_number": "479-229-3891",
"fax_number": "479-229-2264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2533 STATE HIGHWAY 22 W",
"city": "DARDANELLE",
"state": "AR",
"postal_code": "728348831",
"telephone_number": "479-229-3891",
"fax_number": "479-229-2264"
}
],
"practiceLocations": [
{
"address_1": "4039 Central Ave",
"address_purpose": "LOCATION",
"city": "Hot Springs",
"state": "AR",
"postal_code": "719137208",
"country_code": "US",
"telephone_number": "501-451-8683",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEORGE",
"first_name": "SCOTT",
"middle_name": "C.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "3233",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "3233",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dardanelle, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.