Clayton Sorrells, DDS
Individual provider Active NPI General Practice Dentistry · Glenwood, AR
NPI 1801596184 · NPPES record last updated Sep 3, 2023
Key facts
- NPI
- 1801596184
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4667 (AR)
- Practice address
- 119 Elm
Glenwood, AR 71943-9213 - Phone
- (870) 828-0781
- NPI assigned
- Mar 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4667 | AR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glenwood Family Dentistry | Current |
Accepting new patients |
Locations
119 Elm
Ste 119
Glenwood, AR 71943
119 Elm
Glenwood, AR 71943
Phone (870) 356-3920
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4667 | AR | Yes |
Addresses
Primary practice location
119 Elm
Glenwood, AR 71943-9213
Mailing address
PO Box 431
Glenwood, AR 71943-0431
Phone (870) 356-3920
Other providers in Glenwood, AR
- Taeylr Riggs
- Joseph Michael Sandmann
- Jessica Shirley
- Silver Linings, LLC
- Sherri L Smith
- Laiken Hope Sorrells
- Abigail Spurlin
- Dalton Allan Steele
- Stewart Counseling and Consulting LLC
- Susan L Stewart
All providers in Glenwood, AR · General Practice Dentistry in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.