Jonathan P. Dacus, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2350 Issued in AR

Legal business name

JONATHAN P. DACUS, D.D.S.

Practice address

7522 Highway 107
Sherwood, AR 72120-4645

Phone

(501) 834-4800

Fax

(501) 833-1414

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

Jonathan P Dacus, D.D.S.

Title

Owner

Phone

(501) 834-4800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1407399587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7522 HIGHWAY 107",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721204645",
            "telephone_number": "501-834-4800",
            "fax_number": "501-833-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7522 HIGHWAY 107",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721204645",
            "telephone_number": "501-834-4800",
            "fax_number": "501-833-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN P. DACUS, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "DACUS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-834-4800",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Sherwood, AR
• Providers in Sherwood, 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 22, 2016; 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.