Bethel Burris Oliver PLLC
Organization Active NPI General Practice Dentistry · Sheridan, AR
NPI 1194046326 · NPPES record last updated Mar 4, 2015
Key facts
- NPI
- 1194046326
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- BETHEL BURRIS OLIVER PLLC
- Practice address
- 1310 S Rock St
Suite 1
Sheridan, AR 72150-7160 - Phone
- (870) 942-4444
- Fax
- (870) 942-4454
- NPI assigned
- Jun 22, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Benjamin G Burris, DDS, MDS, PA
- Title
- Owner
- Phone
- (479) 445-6335
National Provider Directory
Locations
3782 N Front St
Ste 1
Fayetteville, AR 72703
Phone (479) 443-1705
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes | ||
| Pediatric Dentistry |
1223P0221X | |||
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X |
Addresses
Primary practice location
1310 S Rock St
Suite 1
Sheridan, AR 72150-7160
Mailing address
3782 N Front St Ste 1
Fayetteville, AR 72703-5906
Phone (479) 445-6335
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206265631 | Medicaid | AR | |
| 206307680 | Other | AR | ORAL SURGERY MEDICAID |
Other names
- Arkansas Dentistry and Braces
Other providers in Sheridan, AR
- Chrystal A Batemon
- Nicole Danise Bates
- Elizabeth Ann Baxley
- Randi Leann Beard
- Blayne Ellis Beene
- BHC Pinnacle Pointe Hospital
- Kayla Blocker
- Jennifer Lynn Bradshaw
- Matthew Bridwell
- Iyanna Denise Brown
All providers in Sheridan, AR · General Practice Dentistry in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.