Brent W. Dunavin, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRENT W. DUNAVIN, D.D.S

Doing business as

BRENT W. DUNAVIN, D.D.

Practice address

7 W Center St
Greenwood, AR 72936-4804

Phone

(479) 996-4181

NPI assigned

Mar 2, 2021

Organization subpart

No

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

Authorized official

Name

Dustin Ochoa

Title

Manager

Phone

(479) 996-4181

Specialties & licenses 1

Addresses

Other names 1

• BRENT W. DUNAVIN, D.D. Doing business as

Locations

Practitioners 1

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

• Brent Wade Dunavin, DDS

  • General Practice Dentistry
  • Greenwood, AR
  • NPI 1003963075
  NPD (past)

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1720673759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729360488",
            "telephone_number": "479-996-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W CENTER ST",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729364804",
            "telephone_number": "479-996-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT W. DUNAVIN, D.D.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "OCHOA",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "479-996-4181"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRENT W. DUNAVIN, D.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Molly A Boyd, SLA-BA
• Shelbe Dale Brooks, LMT
• Haley Marie Brown, LPTA
• Brownfield Pharmacy Inc
• Dustin Brownfield, PHARMD
• Blaze Justin Calderon

• General Practice Dentistry in Greenwood, AR
• Providers in Greenwood, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.