Dennis Molina-Aguilar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4655 Issued in AR

Practice address

2533 State Highway 22 W
Dardanelle, AR 72834-8831

Phone

(479) 229-3891

NPI assigned

May 11, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dardanelle Family Dentistry

  • Dentist
  • Dardanelle, AR
  • NPI 1508246489
  NPD (past)

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1821788092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PECAN ST",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728344040",
            "telephone_number": "479-567-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 STATE HIGHWAY 22 W",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728348831",
            "telephone_number": "479-229-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA-AGUILAR",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concetta Whitley Martin, PA
• McCormick Family Dentistry
• Michael D McCormick, DDS
• William Michael McCormick, D.D.S.
• Virginia Mistler, APRN
• Maranda J Moore, FNP-C
• Pam Woodson Professional Counseling, Inc.
• Kathryn I Parker, M.D.
• Russell Pearson, D.C.
• Hunter Augustus Ramey, MD, MPH

• All providers in Dardanelle, AR
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.