Billy C Criswell Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

BILLY C CRISWELL INC

Practice address

2411 Fayetteville Rd
Ste. C
Van Buren, AR 72956-6520

Phone

(479) 474-2828

Fax

(479) 262-6884

NPI assigned

Jul 25, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Byrl C Criswell, DDS

Title

President

Phone

(479) 474-2828

Specialties & licenses 1

Addresses

Other names 1

• Criswell Dental Clinic Doing business as

Tax ID family

Billy C Criswell Inc2 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.

• Billy C Criswell Inc

  • Dentist
  • Van Buren, AR
  • NPI 1093842601
  NPD tax ID

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1730435967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 FAYETTEVILLE RD",
            "address_2": "STE. C",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729566520",
            "telephone_number": "479-474-2828",
            "fax_number": "479-262-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 FAYETTEVILLE RD",
            "address_2": "STE. C",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729566520",
            "telephone_number": "479-474-2828",
            "fax_number": "479-262-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILLY C CRISWELL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "CRISWELL",
        "authorized_official_first_name": "BYRL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-474-2828",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Criswell Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bethel Burris Oliver PLLC
• Beverly Enterprises - Arkansas, Inc.
• Ashley Beyerle
• Bill Pickard, DDS, Ms, PA
• Billy C Criswell Inc
• Billy J Graham
• Hillary Joyce Black
• Gracie Renee Blake
• Harley Rose Blevins
• Natalie Boggs

• Oral and Maxillofacial Surgery (Dentist) in Van Buren, AR
• Providers in Van Buren, 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 Jul 25, 2012; 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.