Axpm- Springdale Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AXPM- SPRINGDALE DENTAL PLLC

Practice address

1333 Arapaho Ave
Ste B
Springdale, AR 72764-6936

Phone

(479) 419-5959

Fax

(479) 935-9248

NPI assigned

Dec 7, 2016

Organization subpart

No

Name

Mark Dake, DDS

Title

Owner

Phone

(501) 781-2777

• Rock Family Dental-Springdale1333 Arapaho Ave Ste BSpringdaleAR727 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477097608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3450",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722033450",
            "telephone_number": "501-781-2777",
            "fax_number": "501-581-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 ARAPAHO AVE",
            "address_2": "STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646936",
            "telephone_number": "479-419-5959",
            "fax_number": "479-935-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXPM- SPRINGDALE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAKE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-781-2777",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Family Dental-Springdale1333 Arapaho Ave Ste BSpringdaleAR727",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Springdale, AR
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.