Lesley Ann Milton, DDS
Individual provider Active NPI Pediatric Dentistry · Batesville, AR
NPI 1346634813 · NPPES record last updated May 10, 2018
Key facts
- NPI
- 1346634813
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 4189 (AR)
- Practice address
- 930 15TH St
Batesville, AR 72501-5827 - Phone
- (870) 262-8118
- Fax
- (870) 262-8120
- NPI assigned
- Mar 23, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220222001070 | TX | Practitioner - Dentist |
9032413869 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4189 | AR | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Tooth Be Told Pediatric Dentistry | Pediatric Dentistry | Current | Accepting new patients |
| Cherokee Nation | Current |
Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current |
Accepting new patients | |
| BP Anesthesia, PLLC | Past | Accepting new patients |
Locations
930 15th St
Batesville, AR 72501
Phone (870) 208-3009
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4189 | AR | |
| Pediatric Dentistry | 1223P0221X | 4189 | AR | Yes |
Addresses
Primary practice location
930 15TH St
Batesville, AR 72501-5827
Mailing address
930 15TH St
Batesville, AR 72501-5827
Phone (870) 262-8118
Other practice location 1
1301 Ridgway Rd., Ste. 2B
Pine Bluff, AR 71603
Phone (870) 535-8600
Other providers in Batesville, AR
- Milestones 4 Kids, Inc
- Mariah Miller
- Stacy Millikin
- Tabitha Ann Mills
- Megan Millsap
- Kaylea Milum
- Miracle Kids Success Academy
- Miracle Kids Success Academy, Inc.
- Angela Mitchell
- Jenny Lee Mitchell
All providers in Batesville, AR · Pediatric Dentistry in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.