Pea Ridge Family Dentistry, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PEA RIDGE FAMILY DENTISTRY, PLLC

Doing business as

Pea Ridge Family Dentistry

Practice address

459 Slack Street
Pea Ridge, AR 72751

Phone

(405) 930-4100

NPI assigned

Jun 13, 2025

Last updated

Jun 13, 2025By 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

Benjamin Bowman, DDS

Title

Owner

Phone

(405) 237-9289

Specialties & licenses 1

Addresses

Other names 1

• PEA RIDGE FAMILY DENTISTRY Doing business as

Locations

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.

• Peyton Garnett, DDS

  • General Practice Dentistry
  • Pea Ridge, AR
  • NPI 1255227609
  NPD

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1407742828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 W I 35 FRONTAGE RD STE 350",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 SLACK STREET",
            "city": "PEA RIDGE",
            "state": "AR",
            "postal_code": "72751",
            "telephone_number": "405-930-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEA RIDGE FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-237-9289",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEA RIDGE FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rain Oleson
• Allison Overbay, SLP
• Ozark Eye, PLLC
• Delilah Mae Parker, D.C.
• Pea Ridge Family & Cosmetic Dentistry by Wisener, Cooper, & Fergus
• Pea Ridge School District
• Pea Ridge Urgent Care Clinic
• Peronia Physical Therapy
• Alex Pistorius, DDS
• Courtney Elizabeth Powell, M.S., CF-SLP

• Dental Clinic/Center in Pea Ridge, AR
• Providers in Pea Ridge, 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 13, 2025; 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.