Pediatric Dentistry of Eastern Arkansas

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3045 Issued in AR

Legal business name

PEDIATRIC DENTISTRY OF EASTERN ARKANSAS

Practice address

126 W Bond Ave
West Memphis, AR 72301-3909

Phone

(870) 735-2298

Fax

(870) 735-7853

NPI assigned

Jun 25, 2008

Last updated

Jun 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon Franks, DDS

Title

Om

Phone

(870) 735-2298

Specialties & licenses 1

Addresses

Tax ID family

Pediatric Dentistry of Eastern Arkansas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pediatric Dentistry of Eastern Arkansas

  • Pediatric Dentistry
  • Forrest City, AR
  • NPI 1922292531
  NPD tax ID

Locations

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1649431370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W BOND AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013909",
            "telephone_number": "870-735-2298",
            "fax_number": "870-735-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W BOND AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013909",
            "telephone_number": "870-735-2298",
            "fax_number": "870-735-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF EASTERN ARKANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "FRANKS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OM",
        "authorized_official_telephone_number": "870-735-2298",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AR",
            "license": "3045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Parsons, SLP
• Krishna Harikushna Patel, PA-C
• Shital Patel
• Morgan Elizabeth Patterson, ECDS
• Pediatric Associates of West Memphis, PLC
• Anita Peel, MHPP
• Tamara Pelkey, LMSW
• Adrian Perry
• Andrew Peters
• Gregory Adam Phelps, PHARMD

• Pediatric Dentistry in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Pediatric Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.