Markham Street Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MARKHAM STREET DENTAL

Practice address

10220 W Markham St
Suite 101
Little Rock, AR 72205-2189

Phone

(501) 666-7602

NPI assigned

Jul 9, 2012

Organization subpart

No

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

Authorized official

Name

Robert Lee Jolly Sr., DR

Title

President

Phone

(501) 352-6580

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1437414166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10220 W MARKHAM ST",
            "address_2": "SUITE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052184",
            "telephone_number": "501-666-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 W MARKHAM ST",
            "address_2": "SUITE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052189",
            "telephone_number": "501-666-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKHAM STREET DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-352-6580",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marino Alea Iglesias, DDS Clinica Dental
• Katy Alyse Marino, M.D.
• Robert Stephen Maris, PHD
• Market Place Medical Clinic
• Markham Injury Center, Inc.
• Anna Markham, RN
• Derek Markham, CNP
• Gary Stephen Markland
• Srdan Markovic, RD
• Fabian Antonio Marks

• Dentist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.