Arkansas Oral & Facial Surgery Center Fort Smith PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3025 Issued in AR

Legal business name

ARKANSAS ORAL & FACIAL SURGERY CENTER FORT SMITH PLLC

Practice address

8309 Phoenix Ave
Fort Smith, AR 72903-6141

Phone

(479) 434-4430

Fax

(479) 434-4438

NPI assigned

Jan 23, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Scott L Bolding, DDS

Title

President

Phone

(479) 434-4430

Specialties & licenses 1

Addresses

Tax ID family

Arkansas Oral Facial Surgery Center Fort Smith PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Arkansas Oral & Facial Surgery Center Fort Smith PLLC

  • General Practice Dentistry
  • Fort Smith, AR
  • NPI 1619374691
  NPD tax ID

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1720326945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 524",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727450524",
            "telephone_number": "479-717-1171",
            "fax_number": "479-725-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8309 PHOENIX AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036141",
            "telephone_number": "479-434-4430",
            "fax_number": "479-434-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS ORAL & FACIAL SURGERY CENTER FORT SMITH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "BOLDING",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-434-4430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AR",
            "license": "3025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arkansas Lung Center PLLC
• Arkansas Oral & Facial Surgery Center Fort Smith PLLC
• Arkansas Orthodontic Specialist Inc
• Arkansas Pain and Wellness, LLC
• Arkansas Post Discharge Services, PLLC
• Arkansas Treatment Associates
• Arkansas Vision Development Center PA

• Oral and Maxillofacial Surgery (Dentist) in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.