Sheridan Dental Center, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHERIDAN DENTAL CENTER, PA

Practice address

1310 S Rock St Ste 1
Sheridan, AR 72150-7223

Phone

(870) 942-2822

Fax

(870) 615-2115

NPI assigned

Mar 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Carlton T Leding, DDS

Title

President/Ceo

Phone

(870) 942-2822

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 3

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

• Stacey E Swilling, D.D.S.

  • General Practice Dentistry
  • Sheridan, AR
  • NPI 1295878957
  NPD (past)
• Matthew Woods

  • General Practice Dentistry
  • Pine Bluff, AR
  • NPI 1457880361
  NPD (past)
• Loredana Banu Wycliffe, DMD

  • Dentist
  • Benton, AR
  • NPI 1700309127
  NPD (past)

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1740521244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 S ROCK ST STE 1",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721507223",
            "telephone_number": "870-942-2822",
            "fax_number": "870-615-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 S ROCK ST STE 1",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721507223",
            "telephone_number": "870-942-2822",
            "fax_number": "870-615-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN DENTAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "LEDING",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "870-942-2822",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI DR. BRANDON MANN",
            "identifier": "1124434709",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740521244",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI FOR CHAD MATONE",
            "identifier": "1821149337",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI FOR DR. CARLTON LEDING",
            "identifier": "1841728235",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger W Saenger, RPT
• Kari Colleen Sanderson
• Elena Savina, LPE
• Brittany Schoggin, LAC
• Sheridan Chiropractic Clinic, P.a.
• Sheridan Family Clinic
• Sheridan Family Pharmacy LLC
• Sheridan Family Pharmacy LLC
• Sheridan Medical Associates
• Sheridan Physical Therapy Clinic

• General Practice Dentistry in Sheridan, AR
• Providers in Sheridan, 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 Sep 18, 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.