D&M Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

D&M DENTISTRY, LLC

Doing business as

Perryville Family Dental

Practice address

810 N Fourche Ave
Perryville, AR 72126-8546

Phone

(501) 977-3393

NPI assigned

Nov 14, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Zachary Randall Dixon, DDSNPI 1821384900

Title

Owner/DDS

Phone

(501) 977-3393

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Perryville Family Dental 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.

• Zachary Randall Dixon, D.D.S.

  • Dentist
  • Morrilton, AR
  • NPI 1821384900

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1780153247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N FOURCHE AVE",
            "city": "PERRYVILLE",
            "state": "AR",
            "postal_code": "721268546",
            "telephone_number": "501-977-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N FOURCHE AVE",
            "city": "PERRYVILLE",
            "state": "AR",
            "postal_code": "721268546",
            "telephone_number": "501-977-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&M DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "501-977-3393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187603608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perryville Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Burgess, DPT
• Brittany Erin Chancellor, RN
• City of Perrville City Recorders Office
• Skylar Nicole Clark, COTA/L
• Counseling Associates, Inc.
• Kevin French, PT
• Gems Ambulance, Inc
• Holly N Griffis, APN
• Victoria Harper, PTA
• Harps Food Stores, Inc.

• General Practice Dentistry in Perryville, AR
• Providers in Perryville, 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 Nov 14, 2018; 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.