NPIMap

Organization Active NPI

Dallas Street Dental

  • Dental Clinic/Center
  • Fort Smith, AR
National Provider Identifier
1780095646
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3119 Issued in AR
Legal business name
DALLAS STREET DENTAL
Practice address
8020 Dallas St
Fort Smith, AR 72903-4277
Phone
(479) 452-6600
Fax
(479) 452-6692
NPI assigned
May 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Dr. William C Ligon, D.D.S.NPI 1750468724
Title
Dentist
Phone
(479) 452-6600

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
Dental Clinic/Center 261QD0000X 3119 AR Primary

Addresses

Primary practice location

8020 Dallas St
Fort Smith, AR 72903-4277

Mailing address

8020 Dallas St
Fort Smith, AR 72903-4277
Phone (479) 452-6600

National Provider Directory

National Provider Directory

Locations

8020 Dallas St
Fort Smith, AR 72903
Phone (479) 452-6600

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": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1780095646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 DALLAS ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034277",
            "telephone_number": "479-452-6600",
            "fax_number": "479-452-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 DALLAS ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034277",
            "telephone_number": "479-452-6600",
            "fax_number": "479-452-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS STREET DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "LIGON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "479-452-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "3119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.