William Corey Inboden, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4117 Issued in AR

Practice address

179 N Church Ave Ste 102
Fayetteville, AR 72701-5266

Phone

(479) 442-6512

Fax

(479) 442-7817

NPI assigned

Jun 30, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Corey Inboden DDS, PLLC

  • Dental Clinic/Center
  • Fayetteville, AR
  • NPI 1114638640
  NPD Authorized official

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1326499369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N 13TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 N CHURCH AVE STE 102",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015266",
            "telephone_number": "479-442-6512",
            "fax_number": "479-442-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INBODEN",
        "first_name": "WILLIAM",
        "middle_name": "COREY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Imhauser, MS, CCC-SLP
• Mallory Anne Imhoff
• Jessica Ims
• In-Line Family Chiropractic, PA
• Colby Inboden, DDS
• Infectious Disease Specialists of Northwest Arkansas
• Infuserx, LLC
• Ashley Elizabeth Ingram, DMD
• George C Ingram Jr., O.D.
• Ingrid Jacobs, PH.D., P.a.

• Dentist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.