Active NPI
Soh of Arkansas William Wellford PC
- Dentist
- Fayetteville, AR
National Provider Identifier
1497251201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SOH OF ARKANSAS WILLIAM WELLFORD PC
- Practice address
- 2868 W Martin Luther King Blvd
Fayetteville, AR 72704-7625 - Phone
- (870) 672-2407
- NPI assigned
- Apr 2, 2018
- Last updated
- Apr 2, 2018
- Organization subpart
- Yes
- Parent organization
- DENTAL CARE OF FAYETTEVILLE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ray Weber
- Title
- Regional Support Specialist
- Phone
- (314) 753-8154
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | Primary |
Addresses
Primary practice location
2868 W Martin Luther King Blvd
Fayetteville, AR 72704-7625
Mailing address
2868 W Martin Luther King Blvd
Fayetteville, AR 72704-7625
Phone (870) 672-2407
National Provider Directory
National Provider Directory- Tax ID family
- Soh of Arkansas William Wellford Porter PC
- Part of
- Soh of Arkansas William Wellford Porter PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Fayetteville, AR
- NPI 1811493828
Locations
2868 W Martin Luther King Jr Blvd
Fayetteville, AR 72704
Phone (479) 249-8181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522627200000",
"number": "1497251201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2868 W MARTIN LUTHER KING BLVD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727047625",
"telephone_number": "870-672-2407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2868 W MARTIN LUTHER KING BLVD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727047625",
"telephone_number": "870-672-2407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOH OF ARKANSAS WILLIAM WELLFORD PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DENTAL CARE OF FAYETTEVILLE",
"enumeration_date": "2018-04-02",
"last_updated": "2018-04-02",
"status": "A",
"authorized_official_last_name": "WEBER",
"authorized_official_first_name": "RAY",
"authorized_official_title_or_position": "REGIONAL SUPPORT SPECIALIST",
"authorized_official_telephone_number": "314-753-8154"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.