Organization Active NPI

Nashville Family Dentistry, Inc.

  • Dentist
  • Nashville, AR
National Provider Identifier
1639333560
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2850 Issued in AR
Legal business name
NASHVILLE FAMILY DENTISTRY, INC.
Practice address
700 N Main St Ste 1
Nashville, AR 71852-3948
Phone
(870) 845-1263
NPI assigned
Jul 10, 2008
Last updated
Feb 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Dr. Vernon Glenn Lance, D.D.S.
Title
D.D.S.
Phone
(870) 845-1263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2850 AR Primary

Addresses

Primary practice location

700 N Main St Ste 1
Nashville, AR 71852-3948

Mailing address

700 N Main St Ste 1
Nashville, AR 71852-3948
Phone (870) 845-1263

Other identifiers 1

IdentifierTypeStateIssuer
114553608MedicaidAR

National Provider Directory

National Provider Directory

Locations

700 N Main St
#1
Nashville, AR 71852
Phone (870) 845-1263

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1639333560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N MAIN ST STE 1",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718523948",
            "telephone_number": "870-845-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N MAIN ST STE 1",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718523948",
            "telephone_number": "870-845-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASHVILLE FAMILY DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "LANCE",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "D.D.S.",
        "authorized_official_telephone_number": "870-845-1263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "2850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114553608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.