Jonesboro Family Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3986 Issued in AR

Legal business name

JONESBORO FAMILY DENTAL PLLC

Doing business as

Jonesboro Family Dental

Practice address

912 Osler Dr
Suite a
Jonesboro, AR 72401-4366

Phone

(870) 935-0111

NPI assigned

Jul 30, 2014

Organization subpart

No

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

Authorized official

Name

Hunter SmithNPI 1548674930

Title

Dentist / Owner

Phone

(870) 935-0111

Specialties & licenses 1

Addresses

Other names 1

• Jonesboro Family Dental Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hunter Allen Smith, D.D.S

  • General Practice Dentistry
  • Jonesboro, AR
  • NPI 1548674930
  NPD (past) Authorized official
• Bryan D Copeland, DDS

  • General Practice Dentistry
  • Jonesboro, AR
  • NPI 1629091178
  NPD (past)

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1609284900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 OSLER DR",
            "address_2": "SUITE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014366",
            "telephone_number": "870-935-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 OSLER DR",
            "address_2": "SUITE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014366",
            "telephone_number": "870-935-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONESBORO FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HUNTER",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "870-935-0111"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonesboro Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jonesboro Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jonesboro Neurosurgery Clinic, Inc

• General Practice Dentistry in Jonesboro, AR
• Providers in Jonesboro, 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 Apr 27, 2021; 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.