Active NPI
Lakefront Dental PLLC
- General Practice Dentistry
- Conway, AR
National Provider Identifier
1639276603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- LAKEFRONT DENTAL PLLC
- Practice address
- 95 Beaverfork Rd
Conway, AR 72032-9517 - Phone
- (501) 327-6529
- Fax
- (501) 327-8695
- NPI assigned
- Sep 20, 2006
- Last updated
- Mar 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stuart Sherwood
- Title
- Dentist Owner
- Phone
- (501) 215-4913
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
95 Beaverfork Rd
Conway, AR 72032-9517
Mailing address
5665 Tivoli Dr
Conway, AR 72034-8241
Phone (501) 650-3717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 621710579 | Other | AR | TAX ID |
National Provider Directory
National Provider DirectoryLocations
95 Beaverfork Rd
Conway, AR 72032
Phone (501) 327-6529
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- General Practice Dentistry
- Morrilton, AR
- NPI 1669854493
-
- Dentist
- Conway, AR
- NPI 1922458090
-
- General Practice Dentistry
- Conway, AR
- NPI 1396842456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741651200000",
"number": "1639276603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5665 TIVOLI DR",
"city": "CONWAY",
"state": "AR",
"postal_code": "720348241",
"telephone_number": "501-650-3717",
"fax_number": "501-650-3717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 BEAVERFORK RD",
"city": "CONWAY",
"state": "AR",
"postal_code": "720329517",
"telephone_number": "501-327-6529",
"fax_number": "501-327-8695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEFRONT DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A",
"authorized_official_last_name": "SHERWOOD",
"authorized_official_first_name": "STUART",
"authorized_official_title_or_position": "DENTIST OWNER",
"authorized_official_telephone_number": "501-215-4913"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "621710579",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.