Organization Active NPI

Clements Family Dentistry

  • Dentist
  • El Dorado, AR
National Provider Identifier
1437598802
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3779 Issued in AR
Legal business name
CLEMENTS FAMILY DENTISTRY
Practice address
700 W Faulkner St
El Dorado, AR 71730-4521
Phone
(870) 862-3399
NPI assigned
Jun 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Sheryl A Clements, DDS
Title
Owner/Dentist
Phone
(870) 862-3399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3779 AR Primary

Addresses

Primary practice location

700 W Faulkner St
El Dorado, AR 71730-4521

Mailing address

700 W Faulkner St
El Dorado, AR 71730-4521
Phone (870) 862-3399

National Provider Directory

National Provider Directory

Locations

700 W Faulkner St
El Dorado, AR 71730
Phone (870) 862-3399

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1437598802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W FAULKNER ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304521",
            "telephone_number": "870-862-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W FAULKNER ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304521",
            "telephone_number": "870-862-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENTS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "870-862-3399",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "3779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.