NPIMap

Organization Active NPI

DC Dental

  • General Practice Dentistry
  • Arkadelphia, AR
National Provider Identifier
1740423482
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3432 Issued in AR
Legal business name
DC DENTAL
Practice address
280 Professional Park Dr Ste B
Arkadelphia, AR 71923-4232
Phone
(870) 246-2828
NPI assigned
Apr 10, 2009
Last updated
Apr 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Authorized official

Name
Dr. William Trevor Coffee, DDS
Title
Dentist
Phone
(870) 246-2828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3432 AR Primary

Addresses

Primary practice location

280 Professional Park Dr Ste B
Arkadelphia, AR 71923-4232

Mailing address

280 Professional Park Dr Ste B
Arkadelphia, AR 71923-4232
Phone (870) 246-2828

National Provider Directory

National Provider Directory

Locations

280 Professional Park Dr
Ste B
Arkadelphia, AR 71923
Phone (870) 246-2828

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1740423482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 PROFESSIONAL PARK DR STE B",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234232",
            "telephone_number": "870-246-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 PROFESSIONAL PARK DR STE B",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234232",
            "telephone_number": "870-246-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "COFFEE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TREVOR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "870-246-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arkadelphia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.