NPIMap

Organization Active NPI

Smiles of Arkansas Dental Center, PLLC

  • General Practice Dentistry
  • Magnolia, AR
National Provider Identifier
1609197813
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILES OF ARKANSAS DENTAL CENTER, PLLC
Practice address
301 E Stadium
Magnolia, AR 71753-2034
Phone
(870) 901-7645
Fax
(870) 234-2030
NPI assigned
Jun 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Garland Reese Shuffield
Title
Business Manager
Phone
(870) 901-7645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

301 E Stadium
Magnolia, AR 71753-2034

Mailing address

301 E Stadium
Magnolia, AR 71753-2034
Phone (870) 901-7645

Other names 1

  • Magnolia Division Other name

National Provider Directory

National Provider Directory
Tax ID family
Smiles of Arkansas Dental Center PLLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 E Stadium
Magnolia, AR 71753
Phone (870) 234-9800

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1609197813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E STADIUM",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532034",
            "telephone_number": "870-901-7645",
            "fax_number": "870-234-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E STADIUM",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532034",
            "telephone_number": "870-901-7645",
            "fax_number": "870-234-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES OF ARKANSAS DENTAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "SHUFFIELD",
        "authorized_official_first_name": "GARLAND",
        "authorized_official_middle_name": "REESE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "870-901-7645"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Division",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Magnolia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.