Bethel Burris Oliver PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BETHEL BURRIS OLIVER PLLC

Doing business as

Arkansas Dentistry and Braces

Practice address

407 Highway 5 N
Benton, AR 72019-9778

Phone

(501) 315-3145

Fax

(501) 794-2033

NPI assigned

Sep 20, 2006

Last updated

Mar 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin G Burris, DDS, MDS, PA

Title

Owner

Phone

(479) 445-6335

Specialties & licenses 4

Addresses

Other names 1

• Arkansas Dentistry and Braces Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin Bethel, DDS

  • Dentist
  • Benton, AR
  • NPI 1861665515
  NPD (past)
• Brooke Janice Jeffus, D.D.S.

  • General Practice Dentistry
  • Bryant, AR
  • NPI 1225221567
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1578661914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3782 N FRONT ST STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035906",
            "telephone_number": "479-445-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 HIGHWAY 5 N",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720199778",
            "telephone_number": "501-315-3145",
            "fax_number": "501-794-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL BURRIS OLIVER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-445-6335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MDS, PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Dentistry and Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benton Public Schools
• Aaron Benton, RECOVERY ASSISTANT
• Jennifer Berry, RECOVERY ASSISTANT
• Kevin Berry, RECOVERY ASSISTANT
• Cecelia Bethards
• Justin Bethel, DDS
• Octavia Beverly, RECOVERY ASSISTANT
• BHC Pinnacle Pointe Hospital, Inc. (The Pointe Outpatient Behavioral Health Services)
• Bailee Paige Bibb
• Kristina Bienick, RECOVERY ASSISTANT

• General Practice Dentistry in Benton, AR
• Providers in Benton, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.