NPIMap

Organization Active NPI

Dental Solutions of Central Arkansas PA

  • General Practice Dentistry
  • Conway, AR
National Provider Identifier
1457405730
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL SOLUTIONS OF CENTRAL ARKANSAS PA
Practice address
607 Front St
Conway, AR 72032-5419
Phone
(501) 327-2586
Fax
(501) 329-8934
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David M Reese, DDS
Title
President
Phone
(501) 327-2586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

607 Front St
Conway, AR 72032-5419

Mailing address

607 Front St
Conway, AR 72032-5419
Phone (501) 327-2586

Other identifiers 2

IdentifierTypeStateIssuer
1385732OtherARUCCI GROUP PROVIDER ID
5C402OtherARARK BCBS GROUP PROVIDER #

Other names 1

  • David M Reese DDS PA Former legal business name

National Provider Directory

National Provider Directory

Locations

607 Front St
Conway, AR 72032
Phone (501) 327-2586

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457405730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 FRONT ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325419",
            "telephone_number": "501-327-2586",
            "fax_number": "501-329-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 FRONT ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325419",
            "telephone_number": "501-327-2586",
            "fax_number": "501-329-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SOLUTIONS OF CENTRAL ARKANSAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-327-2586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI GROUP PROVIDER ID",
            "identifier": "1385732",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK BCBS GROUP PROVIDER #",
            "identifier": "5C402",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David M Reese DDS PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

  • 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.