Exo Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EXO DENTAL PLLC

Doing business as

Exo Dental

Practice address

4307 S Pleasant Crossing Blvd Ste 103
Rogers, AR 72758-1347

Phone

(479) 553-9215

NPI assigned

Oct 4, 2021

Last updated

Oct 28, 2024By 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. Jacob Oliver Smith, DDSNPI 1063856912

Title

Dentist, Business Owner

Phone

(573) 380-8867

Specialties & licenses 1

Addresses

Other names 1

• Exo Dental 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, and the practitioner matching its NPPES authorized official.

• Jacob Oliver Smith, D.D.S.

  • General Practice Dentistry
  • Rogers, AR
  • NPI 1063856912
  NPD Authorized official

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1730851296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 S PLEASANT CROSSING BLVD STE 103",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581030",
            "telephone_number": "479-715-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 S PLEASANT CROSSING BLVD STE 103",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581347",
            "telephone_number": "479-553-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXO DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "DENTIST, BUSINESS OWNER",
        "authorized_official_telephone_number": "573-380-8867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exo Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Exo Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ettienne R Van Zyl, DDS, PLLC (Ozark Comprehensive Dentistry)
• Kati Evans, D.P.T.
• Paxton Alexander Evans
• Stephen James Evans, DDS
• Everest Rehabilitation Hospital Bentonville, LLC (Everest Rehabilitation Hospital Bentonville)
• Eyemart Express LLC
• Johnnie Daniel Ezell
• Ruth Joan Fadely, MA, CCC-SLP
• Amy Faith, MS CCC-SLP
• Family Health & Wellness, PLLC

• General Practice Dentistry in Rogers, AR
• Providers in Rogers, 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 Oct 28, 2024; 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.