Toland Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2262 Issued in AR

Legal business name

TOLAND DENTAL

Practice address

2100 Killough Rd N
Wynne, AR 72396-1009

Phone

(870) 238-0400

Fax

(870) 238-0417

NPI assigned

Dec 15, 2009

Organization subpart

No

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

Authorized official

Name

Jennifer Johnson, OFFICE MANAGER

Title

Office Manager

Phone

(870) 238-0400

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Keeter Toland, DDS

  • General Practice Dentistry
  • Wynne, AR
  • NPI 1194809517
  NPD (past)

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1871822163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 KILLOUGH RD N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723961009",
            "telephone_number": "870-238-0400",
            "fax_number": "870-238-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 KILLOUGH RD N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723961009",
            "telephone_number": "870-238-0400",
            "fax_number": "870-238-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLAND DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-238-0400",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102049608",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INSURANCE",
            "identifier": "779622",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD INSURANCE",
            "identifier": "58929",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Leslie D Tinzie
• Richard Keeter Toland, DDS
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• Jacob Towell, PT
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• Tree of Life Counseling & Consulting, LLC

• General Practice Dentistry in Wynne, AR
• Providers in Wynne, 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 Dec 15, 2009; 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.