Divine Smiles Dental Studios, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DIVINE SMILES DENTAL STUDIOS, INC.

Practice address

620 N 13TH St
Rogers, AR 72756-3434

Phone

(479) 986-0200

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ken Berley, DDS

Title

President/Owner

Phone

(479) 254-0200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1871772764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N 13TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563434",
            "telephone_number": "479-986-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N 13TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563434",
            "telephone_number": "479-986-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE SMILES DENTAL STUDIOS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "BERLEY",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "479-254-0200",
        "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": []
}

• Jamie Dimond
• Eric D Dingler, LPC
• Joshua Galen Dinkel
• Peter Dippel, PHARM.D.
• Kale D Dittmeyer, MD
• Blake Andrew Dixon, APRN
• Hannah Dixon, DPT
• Sarah Dixon, PHARM.D.
• Khanh DO, PHARM D
• Michelle Leigh-McCombs Dobson, LPC

• Dental Clinic/Center in Rogers, AR
• Providers in Rogers, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.