R Dean McNeal DDS PA

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

R DEAN MCNEAL DDS PA

Doing business as

Ozark Prosthodontics

Practice address

3394 N Futrall Dr Ste 2
Fayetteville, AR 72703-3937

Phone

(479) 582-3360

NPI assigned

Jun 9, 2022

Last updated

Aug 14, 2024By 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

Mrs. Sarah Ironside

Title

Credentialing Specialist

Phone

(479) 871-3488

Specialties & licenses 1

Addresses

Other names 1

• Ozark Prosthodontics Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1386373736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 S MAIN ST STE 5",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705519",
            "telephone_number": "435-652-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3394 N FUTRALL DR STE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033937",
            "telephone_number": "479-582-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R DEAN MCNEAL DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "IRONSIDE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "479-871-3488",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ozark Prosthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthodontics in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Prosthodontics in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.