Willmuth Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1755 Issued in AR

Legal business name

WILLMUTH DENTISTRY

Practice address

413 SW 3Rd St
Walnut Ridge, AR 72476-2310

Phone

(870) 886-6761

Fax

(870) 886-6762

NPI assigned

May 31, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Harold N Willmuth

Title

Doctor

Phone

(870) 886-6761

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366644635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 SW 3RD ST",
            "address_2": "PO BOX 713",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724762310",
            "telephone_number": "870-886-6761",
            "fax_number": "870-886-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 SW 3RD ST",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724762310",
            "telephone_number": "870-886-6761",
            "fax_number": "870-886-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLMUTH DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLMUTH",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "870-886-6761",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "1755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "58790",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fredrick Webb
• Ra'Shele West
• Pamela Wilcoxson
• Erica Renee Williams
• Jenna Leanne Williams, LMSW
• Jessica Lynn Wilson
• John Everett Wilson, MD
• Charles Stacy Witcher, LPTA
• Sara Mechelle Woodson, APRN
• Kiann Lee Wright, MHPP

• General Practice Dentistry in Walnut Ridge, AR
• Providers in Walnut Ridge, 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 Aug 22, 2020; 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.