Organization Active NPI

Lakeshore Dental

  • Dentist
  • Heber Springs, AR
National Provider Identifier
1558609735
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3858 Issued in AR
Legal business name
LAKESHORE DENTAL
Practice address
210 N 2ND St
Heber Springs, AR 72543-3031
Phone
(501) 206-0977
Fax
(501) 206-0922
NPI assigned
Jan 23, 2013
Last updated
Jan 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Dr. William J Arnett II, DDS
Title
Dentist
Phone
(501) 206-0977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3858 AR Primary

Addresses

Primary practice location

210 N 2ND St
Heber Springs, AR 72543-3031

Mailing address

210 N 2ND St
Heber Springs, AR 72543-3031
Phone (501) 206-0977

National Provider Directory

National Provider Directory

Locations

210 N 2nd St
Heber Springs, AR 72543
Phone (501) 206-0977

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1558609735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N 2ND ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725433031",
            "telephone_number": "501-206-0977",
            "fax_number": "501-206-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N 2ND ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725433031",
            "telephone_number": "501-206-0977",
            "fax_number": "501-206-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "ARNETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "501-206-0977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.