David R. Kernodle, D.D.S.,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1904 Issued in AR

Legal business name

DAVID R. KERNODLE, D.D.S.,P.C.

Practice address

715 W Sherman Ave
Suite H
Harrison, AR 72601-2743

Phone

(870) 741-6726

Fax

(870) 741-0164

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Ray Kernodle, D.D.S.

Title

President

Phone

(870) 741-6726

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598879264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W SHERMAN AVE",
            "address_2": "SUITE H",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012743",
            "telephone_number": "870-741-6726",
            "fax_number": "870-741-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W SHERMAN AVE",
            "address_2": "SUITE H",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012743",
            "telephone_number": "870-741-6726",
            "fax_number": "870-741-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. KERNODLE, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERNODLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-741-6726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "1904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laken Nichole Curtis
• Shannon Jean Darnell, MHPP/TEACHER
• Mary K Darrell, BS, QBHP
• David a. Yates & Associates, LLC
• David P Schwarz O D P C
• Tracy Lynn Davidson, MHPP
• Alexa Dale Davis, PHD
• Joseph Kaleb Wayne Davis, MHPP
• Lisa Davis
• Sarah Davis, OTR/L

• General Practice Dentistry in Harrison, AR
• Providers in Harrison, 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 Aug 22, 2020; 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.