Regional Dental Center Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2725 Issued in AR

Legal business name

REGIONAL DENTAL CENTER INC

Practice address

520 S 14TH St
Fort Smith, AR 72901-4608

Phone

(479) 782-3005

Fax

(479) 494-7490

NPI assigned

May 8, 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. Stan M Udouj, D.M.D.NPI 1457376246

Title

Doctor Owner President

Phone

(479) 782-3005

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, and the practitioner matching its NPPES authorized official.

• Stan M Udouj, D.M.D.

  • General Practice Dentistry
  • Fort Smith, AR
  • NPI 1457376246
  Authorized official Same address or phone

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396958880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S 14TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014608",
            "telephone_number": "479-782-3005",
            "fax_number": "479-494-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S 14TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014608",
            "telephone_number": "479-782-3005",
            "fax_number": "479-494-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL DENTAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UDOUJ",
        "authorized_official_first_name": "STAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR OWNER PRESIDENT",
        "authorized_official_telephone_number": "479-782-3005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savana Katlin Reed
• Peyton Reese
• Brent Samuel Reeves, D.O.
• Dana Leigh Reeves, CNP
• Refuge and Restore PLLC (The Refuge)
• Micah Rego
• Megan Reid, BA, CIT, RDS
• Nicole Reid, APN
• Rebecca Lynn Reif, MED, CCC-SLP
• Relax and Ride Arkansas LLC

• General Practice Dentistry in Fort Smith, AR
• Providers in Fort Smith, 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.