William Roy Capps, D.D.S.

Individual provider Active NPI General Practice Dentistry · Gurdon, AR

NPI 1457417784 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1457417784
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
1972 (AR)
Practice address
305 E Walnut St
Gurdon, AR 71743-1257
Phone
(870) 353-4433
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1972ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
William R. Capps, DDS; PLLC General Practice Past Accepting new patients
Gurdon Family Dentistry, Inc General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1972 AR Yes

Addresses

Primary practice location

305 E Walnut St
Gurdon, AR 71743-1257

Mailing address

305 E Walnut St
Gurdon, AR 71743-1257
Phone (870) 353-4433

Other providers in Gurdon, AR

All providers in Gurdon, AR · General Practice Dentistry in Arkansas

Sources for this page

Verify at the official NPI Registry.