Bethel Burris Oliver PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BETHEL BURRIS OLIVER PLLC

Doing business as

Arkansas Dentistry and Braces

Practice address

809 Windover Rd
Jonesboro, AR 72401-6010

Phone

(870) 931-3337

Fax

(870) 268-1072

NPI assigned

Dec 14, 2006

Last updated

Mar 4, 2015By 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

Dr. Benjamin G Burris, DDS, MDS, PA

Title

Owner

Phone

(479) 445-6335

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Arkansas Dentistry and Braces Doing business as

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1699837831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3782 N FRONT ST STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035906",
            "telephone_number": "479-445-6335",
            "fax_number": "479-301-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 WINDOVER RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016010",
            "telephone_number": "870-931-3337",
            "fax_number": "870-268-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL BURRIS OLIVER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-445-6335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MDS, PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206263631",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORAL SURGERY MEDICAID",
            "identifier": "206303680",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Dentistry and Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Beshiers, P.T.A
• Jillia Bess, ATC
• Kamri Best, O.D.
• Logan Wade Best, DO
• Sheila Gail Best, MCD,CCC-SLP
• Bethel Burris Oliver PLLC (Arkansas Dentistry and Braces)
• Bethel Burris Oliver PLLC (Arkansas Dentistry and Braces)
• Better Life Counseling Center Inc
• Chelsea Bettis, PTA
• Betts Clinic LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.