Organization Active NPI

WH Ar Dental PLLC

  • Dentist
  • Springdale, AR
National Provider Identifier
1215557897
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WH AR DENTAL PLLC
Practice address
4870 Elm Springs Rd Ste B
Springdale, AR 72762-3749
Phone
(479) 756-1777
Fax
(479) 756-1727
NPI assigned
Apr 23, 2020
Last updated
Dec 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Benjamin Lee
Title
Owner
Phone
(479) 204-1258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4870 Elm Springs Rd Ste B
Springdale, AR 72762-3749

Mailing address

702 SW 8TH St
Bentonville, AR 72716-0445
Phone (479) 204-1258

Other practice location 1

2110 W Walnut St Ste 100
Rogers, AR 72756-3246
Phone (479) 202-7035

Other practice location 2

2100 N 62nd St Ste A
Fort Smith, AR 72904-5163
Phone (479) 358-8435

National Provider Directory

National Provider Directory
Tax ID family
Walmart Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1215557897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW 8TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727160445",
            "telephone_number": "479-204-1258",
            "fax_number": "479-277-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 ELM SPRINGS RD STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727623749",
            "telephone_number": "479-756-1777",
            "fax_number": "479-756-1727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 W Walnut St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727563246",
            "country_code": "US",
            "telephone_number": "479-202-7035",
            "fax_number": "479-756-1727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 N 62nd St Ste A",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729045163",
            "country_code": "US",
            "telephone_number": "479-358-8435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WH AR DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-204-1258"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

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