Groovy Smiles Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

GROOVY SMILES PEDIATRIC DENTISTRY PLLC

Practice address

622 S Main St
Searcy, AR 72143-6852

Phone

(501) 764-3883

Fax

(501) 325-1400

NPI assigned

Jan 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Aaron Forrester, D.D.S

Title

Dentist

Phone

(501) 764-3883

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1568850238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 DAVE WARD DR",
            "address_2": "SUITE 502",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348686",
            "telephone_number": "501-764-3883",
            "fax_number": "501-325-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 S MAIN ST",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436852",
            "telephone_number": "501-764-3883",
            "fax_number": "501-325-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROOVY SMILES PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "FORRESTER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "501-764-3883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Daisy Griffin
• Dylan Keith Griffin, CRNA
• John H. Griffin
• Mackenna Griffin, QBHP
• Kyle Brent Griggs, PHARMD
• Adam Mark Gumushian
• Patricia Gursky, RN
• Mark Edward Gustke, M.D.
• Lesley Lataisha Guthrie, CRNA
• Allison Gutierrez, MHPP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.