Conway Dental Center PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3574 Issued in AR

Legal business name

CONWAY DENTAL CENTER PLLC

Doing business as

Conway Dental Center PLLC

Practice address

1600 E. Oak Street Suite B
Conway, AR 72032

Phone

(501) 358-4489

NPI assigned

Mar 1, 2018

Organization subpart

No

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

Authorized official

Name

Chad Matone, DDS

Title

Owner/Dentist

Phone

(501) 205-1084

Specialties & licenses 1

Addresses

Other names 1

• Conway Dental Center PLLC Doing business as

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1275035602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241785",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230014",
            "telephone_number": "501-205-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E. OAK STREET SUITE B",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72032",
            "telephone_number": "501-358-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY DENTAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "MATONE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "501-205-1084",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conway Dental Center PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Conway Community Services (Baptist Health Medical Center - Conway)
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• Conway County Community Service Inc.
• Conway County Community Service Inc.
• Conway Digestive Health Center, Inc.
• Conway Emergency Physicians, P.a. (Wound Care Clinic)
• Conway Emergency Physicians, P.a.
• Conway Endoscopy Center, Inc.
• Conway Eye Center

• General Practice Dentistry in Conway, AR
• Providers in Conway, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.