Active NPI
Nashville Family Dentistry, Inc.
- Dentist
- Nashville, AR
National Provider Identifier
1639333560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2850
- 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, 2021
- 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
- Dr. Vernon Glenn Lance, D.D.S.
- Title
- D.D.S.
- Phone
- (870) 845-1263
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114553608 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Nashville, AR
- NPI 1740331917
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
- Sidney Brooke Moten
- Jennifer Muckelrath
- Ambrea Murphy
- Tugi Renee Myers, NP-C
- Nashville Drug Company
- Nashville Family Pharmacy LLC (Nashville Family Pharmacy Long-Term Care)
- Nashville Family Pharmacy LLC
- Nashville Nursing and Rehab, Inc.
- Nashville Nursing Opco LLC (Nashville Nursing and Rehab)
- Nashville School District
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.