Ethan Michael Ake, DDS

Individual provider Active NPI General Practice Dentistry · Little Rock, AR

NPI 1326577347 · NPPES record last updated Jun 24, 2022

Key facts

NPI
1326577347
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
4172 (AR)
Practice address
7924 Cantrell Rd Ste B
Little Rock, AR 72227-2501
Phone
(501) 225-0113
NPI assigned
Jun 5, 2017
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4172ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ethan Ake Dental PLLC Current
since Jun 26, 2022
Accepting new patients

Locations

7924 Cantrell Rd
Ste B
Little Rock, AR 72227
Phone (501) 225-0113

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4172 AR Yes

Addresses

Primary practice location

7924 Cantrell Rd Ste B
Little Rock, AR 72227-2501

Mailing address

7924 Cantrell Rd Ste B
Little Rock, AR 72227-2501
Phone (501) 225-0113

Other practice location 1

2022 S Buerkle St
Stuttgart, AR 72160-6508
Phone (870) 551-3836

Other practice location 2

9200 Chicot Rd
Little Rock, AR 72209-6107
Phone (501) 568-1823

Other practice location 3

7924 Cantrell Rd Ste B
Little Rock, AR 72227-2501
Phone (501) 225-0113

Other providers in Little Rock, AR

All providers in Little Rock, AR · General Practice Dentistry in Arkansas

Sources for this page

Verify at the official NPI Registry.