Organization Active NPI

Saline Dental Group

  • General Practice Dentistry
  • Bryant, AR
National Provider Identifier
1679632871
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2979 Issued in AR
Legal business name
SALINE DENTAL GROUP
Practice address
3001 Horizon Ave
Bryant, AR 72022-9162
Phone
(501) 847-1022
Fax
(501) 847-5852
NPI assigned
Dec 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Richard A Cain, D.D.S.NPI 1700806841
Title
Owner
Phone
(501) 847-1022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2382 AR
General Practice Dentistry 1223G0001X 2979 AR Primary

Addresses

Primary practice location

3001 Horizon Ave
Bryant, AR 72022-9162

Mailing address

3001 Horizon Ave
Bryant, AR 72022-9162
Phone (501) 847-1022

National Provider Directory

National Provider Directory

Locations

3001 Horizon Dr
Bryant, AR 72022
Phone (501) 847-1022

Practitioners & affiliated clinicians

Practitioners 4

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679632871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 HORIZON AVE",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229162",
            "telephone_number": "501-847-1022",
            "fax_number": "501-847-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HORIZON AVE",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229162",
            "telephone_number": "501-847-1022",
            "fax_number": "501-847-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-847-1022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2382",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.