Main Street Dental GPS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MAIN STREET DENTAL GPS, PLLC

Practice address

312 S Main St
Bentonville, AR 72712-5903

Phone

(479) 254-6899

NPI assigned

Jun 2, 2020

Organization subpart

No

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

Authorized official

Name

Dr. William R Little, DDS

Title

Co-Owner

Phone

(870) 243-4406

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sydney Brooke Henderson, D.D.S.

  • General Practice Dentistry
  • Bentonville, AR
  • NPI 1033737507
  NPD

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1386268696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E HUNTINGTON AVE STE E",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012900",
            "telephone_number": "870-243-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S MAIN ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125903",
            "telephone_number": "479-254-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET DENTAL GPS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "870-243-4406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Nicole Madden, RN
• Madison Maddox
• Made to Move Physical Therapy LLC
• Gretchen Alece Magee, AUD
• Linda May Maiers, OTR/L, CHT
• Main Street Dental PLLC
• Maline Orthopedics, PLLC
• Amanda Paige Maloney, MSN, APRN, FNP-C
• Jason Maloy, MHPP
• Lacie Mancia

• Dental Clinic/Center in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.