NPIMap

Organization Active NPI

William L. Eggart, Jr, DDS, PA

  • Dentist
  • Morrilton, AR
National Provider Identifier
1396923371
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3394 Issued in AR
Legal business name
WILLIAM L. EGGART, JR, DDS, PA
Doing business as
Morrilton Family Dental
Practice address
9 Medical Services Dr
Suite a
Morrilton, AR 72110-4528
Phone
(501) 354-8800
Fax
(501) 354-8801
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Dr. William L EggartNPI 1760563787
Title
President
Phone
(501) 354-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3394 AR Primary

Addresses

Primary practice location

9 Medical Services Dr
Suite a
Morrilton, AR 72110-4528

Mailing address

9 Medical Services Dr
Suite a
Morrilton, AR 72110-4528
Phone (501) 354-8800

Other identifiers 3

IdentifierTypeStateIssuer
152718608MedicaidAR
1579726OtherARUNITED CONCORDIA
5X712OtherARBCBS

Other names 1

  • Morrilton Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9 Medical Services Dr
Ste A
Morrilton, AR 72110
Phone (501) 327-1366

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1396923371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MEDICAL SERVICES DR",
            "address_2": "SUITE A",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721104528",
            "telephone_number": "501-354-8800",
            "fax_number": "501-354-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MEDICAL SERVICES DR",
            "address_2": "SUITE A",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721104528",
            "telephone_number": "501-354-8800",
            "fax_number": "501-354-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM L. EGGART, JR, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "EGGART",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-354-8800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "3394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152718608",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1579726",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5X712",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morrilton Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Morrilton Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morrilton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.