Individual provider Active NPI

Scott C. George, D.D.S.

  • Dentist
  • Dardanelle, AR
National Provider Identifier
1154338960
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3233 Issued in AR
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151020000242 AR Order and Referring Only - DentistPractitioner - Dentist 6709883978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3233ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.