Organization Active NPI

Exo Dental Van Buren PLLC

  • Dental Clinic/Center
  • Van Buren, AR
National Provider Identifier
1801738836
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EXO DENTAL VAN BUREN PLLC
Practice address
2025 Fayetteville Rd Ste B
Van Buren, AR 72956-6981
Phone
(479) 545-1122
Fax
(479) 545-1188
NPI assigned
Apr 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Dr. Jacob Smith, DDSNPI 1063856912
Title
Owner, Ceo, Doctor
Phone
(573) 380-8867

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 Primary

Addresses

Primary practice location

2025 Fayetteville Rd Ste B
Van Buren, AR 72956-6981

Mailing address

2025 Fayetteville Rd Ste B
Van Buren, AR 72956-6981
Phone (479) 545-1122

National Provider Directory

National Provider Directory

Locations

2025 Fayetteville Rd
Ste B
Van Buren, AR 72956
Phone (479) 545-1122

Practitioners & affiliated clinicians

Practitioners 1

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": "1775606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1801738836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 FAYETTEVILLE RD STE B",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729566981",
            "telephone_number": "479-545-1122",
            "fax_number": "479-545-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 FAYETTEVILLE RD STE B",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729566981",
            "telephone_number": "479-545-1122",
            "fax_number": "479-545-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXO DENTAL VAN BUREN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER, CEO, DOCTOR",
        "authorized_official_telephone_number": "573-380-8867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.