Northwest Arkansas Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

NORTHWEST ARKANSAS PEDIATRIC DENTISTRY PLLC

Practice address

3089 E Mission Blvd
Fayetteville, AR 72703-4385

Phone

(479) 442-6995

Fax

(479) 443-6468

NPI assigned

Nov 10, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey M Ward, DDS

Title

Dentist

Phone

(479) 442-6995

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1649988338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3089 E MISSION BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034385",
            "telephone_number": "479-442-6995",
            "fax_number": "479-443-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3089 E MISSION BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034385",
            "telephone_number": "479-442-6995",
            "fax_number": "479-443-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ARKANSAS PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "479-442-6995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Northwest Arkansas Periodontal Associates, PLLC
• Northwest Arkansas Podiatry Center, Inc.
• Northwest Arkansas Rehabilitation Associates (Encompass Health Rehab Hospital, a partner of Washington Regional)
• Northwest Arkansas Renal Dialysis Associates (Regional Kidney Center Fayetteville Dialysis)
• Northwest Arkansas Senior Care Specialists, PLLC

• Pediatric Dentistry in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Pediatric Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.