Organization Active NPI

The Dental Clinic

  • General Practice Dentistry
  • North Little Rock, AR
National Provider Identifier
1306100136
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THE DENTAL CLINIC
Practice address
505 W Pershing Blvd
Suite a
North Little Rock, AR 72114-2147
Phone
(501) 758-9140
NPI assigned
Jun 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Dr. Robert L Jolly Sr., DDS
Title
President
Phone
(501) 352-6580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

505 W Pershing Blvd
Suite a
North Little Rock, AR 72114-2147

Mailing address

505 W Pershing Blvd
Suite a
North Little Rock, AR 72114-2147
Phone (501) 758-9140

National Provider Directory

National Provider Directory

Locations

505 W Pershing Blvd
Ste A
North Little Rock, AR 72114
Phone (501) 758-9140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1306100136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W PERSHING BLVD",
            "address_2": "SUITE A",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721142147",
            "telephone_number": "501-758-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W PERSHING BLVD",
            "address_2": "SUITE A",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721142147",
            "telephone_number": "501-758-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-352-6580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.