River Valley Mobile Dental Clinic

Primary specialty

DentistTaxonomy code 122300000X

License

AR2820 Issued in AR

Legal business name

RIVER VALLEY MOBILE DENTAL CLINIC

Practice address

3600 Old Greenwood Rd Ste 2
Fort Smith, AR 72903-5930

Phone

(479) 434-6894

Fax

(479) 434-6896

NPI assigned

May 12, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ward W Clemmons, DDSNPI 1417052945

Title

President

Phone

(479) 434-6894

Specialties & licenses 1

Addresses

Other names 1

• Ward W. Clemmons Implant & Comprehensive Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ward William Clemmons, D.D.S., P.A.

  • Dentist
  • Fort Smith, AR
  • NPI 1417052945
  NPD (past) Authorized official

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1689085730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 OLD GREENWOOD RD STE 2",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035930",
            "telephone_number": "479-434-6894",
            "fax_number": "479-434-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 OLD GREENWOOD RD STE 2",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035930",
            "telephone_number": "479-434-6894",
            "fax_number": "479-434-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY MOBILE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "CLEMMONS",
        "authorized_official_first_name": "WARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-434-6894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "AR2820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ward W. Clemmons Implant & Comprehensive Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• River Valley Anesthesia Associates, P. a.
• River Valley Back and Neck Clinic, Inc
• River Valley Community Center
• River Valley Dental Group PLLC
• River Valley Gastroenterology, PLLC
• River Valley Oral & Maxillofacial Surgery PLC
• River Valley Pediatric Dentistry PLLC
• River Valley Pediatrics LLC
• River Valley Primary Care
• River Valley Primary Care Services

• Dentist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.