Active NPI
Bill C.W. Dill III DDS
- Dental Clinic/Center
- Fayetteville, AR
National Provider Identifier
1710117734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- BILL C.W. DILL III DDS
- Practice address
- 2646 E Joyce Blvd Ste 1
Fayetteville, AR 72703-4435 - Phone
- (479) 443-4440
- Fax
- (479) 443-4450
- NPI assigned
- Jul 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bill CW Dill III, DDS
- Title
- Owner/Dentist
- Phone
- (479) 443-4440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
2646 E Joyce Blvd Ste 1
Fayetteville, AR 72703-4435
Mailing address
2646 E Joyce Blvd Ste 1
Fayetteville, AR 72703-4435
Phone (479) 443-4440
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58122 | Other | AR | BLUE CROSS BLUE SHIELD |
| 160839608 | Medicaid | AR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Fayetteville, AR
- NPI 1598758591
-
- General Practice Dentistry
- Fayetteville, AR
- NPI 1689687014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248393600000",
"number": "1710117734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2646 E JOYCE BLVD STE 1",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034435",
"telephone_number": "479-443-4440",
"fax_number": "479-443-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2646 E JOYCE BLVD STE 1",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034435",
"telephone_number": "479-443-4440",
"fax_number": "479-443-4450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BILL C.W. DILL III DDS",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-24",
"last_updated": "2009-07-24",
"status": "A",
"authorized_official_last_name": "DILL",
"authorized_official_first_name": "BILL",
"authorized_official_middle_name": "CW",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "479-443-4440",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "58122",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160839608",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.