Organization Active NPI

Wedington Court Dental Associates

  • General Practice Dentistry
  • Fayetteville, AR
National Provider Identifier
1760740799
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2977 Issued in AR
Legal business name
WEDINGTON COURT DENTAL ASSOCIATES
Practice address
1188 N Salem Rd
#10
Fayetteville, AR 72704-8807
Phone
(479) 527-0707
Fax
(479) 527-0201
NPI assigned
Apr 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Dr. Gary G Guthrie, DDSNPI 1114937323
Title
Dentist
Phone
(479) 527-0707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2977 AR Primary

Addresses

Primary practice location

1188 N Salem Rd
#10
Fayetteville, AR 72704-8807

Mailing address

1188 N Salem Rd
#10
Fayetteville, AR 72704-8807
Phone (479) 527-0707

National Provider Directory

National Provider Directory

Locations

1188 N Salem Rd
Ste 10
Fayetteville, AR 72704
Phone (479) 527-0707

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1760740799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 N SALEM RD",
            "address_2": "#10",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727048807",
            "telephone_number": "479-527-0707",
            "fax_number": "479-527-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 N SALEM RD",
            "address_2": "#10",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727048807",
            "telephone_number": "479-527-0707",
            "fax_number": "479-527-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEDINGTON COURT DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "479-527-0707",
        "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": "2977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.