Spring Dental Springdale

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SPRING DENTAL SPRINGDALE

Doing business as

River Dental Springdale

Practice address

2111 S Old Missouri Rd
Springdale, AR 72764-8718

Phone

(903) 203-1614

NPI assigned

Jul 28, 2016

Organization subpart

No

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

Authorized official

Name

Renee McBay

Title

Credentialing Specialist

Phone

(918) 998-0996

Specialties & licenses 1

Addresses

Other names 1

• River Dental Springdale Doing business as

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1669925350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TER STE 250",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375619",
            "telephone_number": "918-998-0996",
            "fax_number": "918-235-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 S OLD MISSOURI RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727648718",
            "telephone_number": "903-203-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING DENTAL SPRINGDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "MCBAY",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "918-998-0996"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Dental Springdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jared R Spencer, M.D.
• Jennifer Spradley, LCSW
• Robert Spradlin, PHARMD
• Miranda Renea Sprenger
• Sprindale Ar Caregiving LLC
• Spring of Renewal
• Springdale Ar Caregiving LLC
• Springdale Bentonville Surgery Center LP
• Springdale Emergency Group LLC
• Springdale Foot Specialist PA

• General Practice Dentistry in Springdale, AR
• Providers in Springdale, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.