Ozark Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3374 Issued in AR

Legal business name

OZARK DENTAL CARE

Practice address

2538 E Joyce Blvd
Fayetteville, AR 72703-4553

Phone

(479) 442-3915

Fax

(479) 442-4449

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Scott J Stephens, D.D.S.NPI 1225124035

Title

Owner Dentist

Phone

(479) 442-3915

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dr Scott Stephens Family and Cosmetic Dentistry 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.

• Scott J Stephens, D.D.S

  • Dentist
  • Fayetteville, AR
  • NPI 1225124035
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740339167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 E JOYCE BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034553",
            "telephone_number": "479-442-3915",
            "fax_number": "479-442-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2538 E JOYCE BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034553",
            "telephone_number": "479-442-3915",
            "fax_number": "479-442-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER  DENTIST",
        "authorized_official_telephone_number": "479-442-3915",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "1701032",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR DENTAL LISCENCE",
            "identifier": "3374",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "5Y318",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Scott Stephens Family and Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ozanne Family Chiropractic
• Benjamin Arn Ozanne, D.C.
• Lucy Ozanne, CCC-SLP
• Ozark Center for Lifestyle Medicine, Inc.
• Ozark Community Bridge, LLC
• Ozark Dermatology Clinic
• Ozark Foot & Ankle PLC
• Ozark Medical Consultants PLLC
• Ozark Mobility Nemt, LLC
• Ozark Orthopaedics, P.a.

• General Practice Dentistry in Fayetteville, AR
• Providers in Fayetteville, 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 Aug 22, 2020; 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.