Active NPI
Panagiota Sandoval, DDS
- Pediatric Dentistry
- Jonesboro, AR
National Provider Identifier
1467946434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 4872
- Practice address
- 1750 Hill Park Drive
Jonesboro, AR 72401 - Phone
- (573) 888-5936
- NPI assigned
- Jun 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 4872 | AR | Primary |
Addresses
Primary practice location
1750 Hill Park Drive
Jonesboro, AR 72401
Mailing address
1750 Hill Park Drive
Jonesboro, AR 72401
Phone (573) 344-6047
Other practice location 1
3601 NW 107th Ave Fl 3
Doral, FL 33178-4377
Phone (305) 418-7771
Other practice location 2
13757 SW 152nd St
Miami, FL 33177-8125
Phone (305) 251-5390
Other practice location 3
500 Russell St
Kennett, MO 63857-2102
Phone (573) 717-1332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018017586 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicklaus Children'S Hospital | Current | Accepting new patients | |
| Ola Pediatric Dentistry, PLLC | Pediatric Dentistry | Past | Accepting new patients |
Locations
3601 NW 107th Ave
Fl 3
Doral, FL 33178
Phone (305) 418-7771
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.
-
- Pediatric Dentistry
- Jonesboro, AR
- NPI 1003738071
-
- Student in an Organized Health Care Education/Training Program
- Doral, FL
- NPI 1205648102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1467946434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 HILL PARK DRIVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72401",
"telephone_number": "573-344-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 HILL PARK DRIVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72401",
"telephone_number": "573-888-5936"
}
],
"practiceLocations": [
{
"address_1": "3601 NW 107th Ave Fl 3",
"address_purpose": "LOCATION",
"city": "Doral",
"state": "FL",
"postal_code": "331784377",
"country_code": "US",
"telephone_number": "305-418-7771",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13757 SW 152nd St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331778125",
"country_code": "US",
"telephone_number": "305-251-5390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Russell St",
"address_purpose": "LOCATION",
"city": "Kennett",
"state": "MO",
"postal_code": "638572102",
"country_code": "US",
"telephone_number": "573-717-1332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDOVAL",
"first_name": "PANAGIOTA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-21",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AR",
"license": "4872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.