Smile Shoppe Fayetteville Jeffrey D. Rhodes DDS Ms PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SMILE SHOPPE FAYETTEVILLE JEFFREY D. RHODES DDS MS PLLC

Practice address

3484 W Wedington Dr
Fayetteville, AR 72704-5730

Phone

(479) 631-6377

NPI assigned

Nov 8, 2018

Organization subpart

No

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

Authorized official

Name

Karie Watson

Title

Practice Manager

Phone

(479) 631-6377

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1508334400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5518 W WALSH LN",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588947",
            "telephone_number": "479-631-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3484 W WEDINGTON DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045730",
            "telephone_number": "479-631-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE SHOPPE FAYETTEVILLE JEFFREY D. RHODES DDS MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "KARIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "479-631-6377"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndall R Sloan
• Seth S Slone
• Michaela Slosar
• Evan Cole Smarinsky, LPC
• Dawn Michelle Smedley, APRN
• Makaila Renaye Smiley
• Harvey E. Smith Jr, DDS
• Jana Dawn Smith Martin, AU.D.
• Amy Smith, SLP
• Amy Elizabeth Smith, LPC

• Pediatric Dentistry in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Pediatric Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.