Smile Center of Sheridan, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE CENTER OF SHERIDAN, PLLC

Practice address

1409 S Rock St Ste B
Sheridan, AR 72150-7180

Phone

(870) 942-2020

NPI assigned

Nov 16, 2022

Last updated

Nov 16, 2022By 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

Susan Logan

Title

Insurance Admin

Phone

(501) 520-9854

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jahon Thomas Zehtaban, DDS

  • General Practice Dentistry
  • Little Rock, AR
  • NPI 1679003909
  NPD (past)

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1376252478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 S ROCK ST STE B",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721507180",
            "telephone_number": "870-942-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 S ROCK ST STE B",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721507180",
            "telephone_number": "870-942-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CENTER OF SHERIDAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "INSURANCE ADMIN",
        "authorized_official_telephone_number": "501-520-9854"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheridan Medical Associates
• Sheridan Physical Therapy Clinic (Roger Saenger, RPT)
• Sheridan School District
• John B Simpson, M.D.
• Holley Elizabeth Skinner, OD
• Alexandra Smith, LCSW
• Casey Smith, PLMSW
• Charlotte Smith, MHPP
• Shanna Smith, QBHP
• Vanessa Socia, LAC

• General Practice Dentistry in Sheridan, AR
• Providers in Sheridan, 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 Nov 16, 2022; 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.