Central Dental - Conway, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CENTRAL DENTAL - CONWAY, LLC

Doing business as

Central Dental - Conway, LLC

Practice address

2415 Prince Street
Conway, AR 72034-3746

Phone

(501) 327-6453

NPI assigned

Oct 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Todd C Stewart, D.D.S.

Title

Owner

Phone

(501) 225-1577

Specialties & licenses 1

Addresses

Other names 1

• Central Dental - Conway, LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edwin Kyle Dalton, D.D.S.

  • General Practice Dentistry
  • Conway, AR
  • NPI 1881789451
  NPD (past)

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1912250655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 PRINCE ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343746",
            "telephone_number": "501-327-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 PRINCE STREET",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343746",
            "telephone_number": "501-327-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DENTAL - CONWAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-225-1577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Dental - Conway, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Arkansas OBGYN PLLC
• Central Arkansas Pediatrics, P.a.
• Central Arkansas Sleep Diagnostics, Inc (Dr. Tyrone T. Lee, Conway Pulmonology Clinic)
• Central Arkansas Sleep Health, LLC
• Central Arkansas Testing & Therapy Center
• Ashley Chacko, MOT, OTR/L
• Ashlyn C Chambers, BT
• Julia Elizabeth Chambers, APRN, FNP-C
• Lauren Chambless
• Terence L Champlin, M.D.

• General Practice Dentistry in Conway, AR
• Providers in Conway, 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 Oct 14, 2013; 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.