Dover Dental D.D.S., P.a. Dba Dover Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DOVER DENTAL D.D.S., P.A. DBA DOVER FAMILY DENTISTRY

Doing business as

Dover Family Dentistry

Practice address

400 S College St Ste 4
Mountain Home, AR 72653-3991

Phone

(870) 425-4777

NPI assigned

May 18, 2020

Last updated

May 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matt Dover, DDS

Title

Owner/ Dentist

Phone

(870) 530-0881

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dover Family Dentistry Doing business as

Locations

Practitioners 2

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.

• Matthew W Dover, D.D.S.

  • General Practice Dentistry
  • Cabot, AR
  • NPI 1295963726
  NPD
• Charles Michael Risk, D.D.S.

  • General Practice Dentistry
  • Mountain Home, AR
  • NPI 1619020229
  NPD (past)

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1912529504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S COLLEGE ST STE 4",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533991",
            "telephone_number": "870-425-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S COLLEGE ST STE 4",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533991",
            "telephone_number": "870-425-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVER DENTAL D.D.S., P.A. DBA DOVER FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "DOVER",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "870-530-0881",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177569608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dover Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Anthony Dorethy, MSW,LCSW
• Douglas W. Marx. M.D., P.a. (Sneed Eye Associates)
• Donald Steven Douglas, M.D.
• Sarah Dove
• Dover and Hart Dental PLLC (Dover Family Dentistry)
• Sarah Dover
• Dr Kala R Hatch PA
• Dr. John T. Ahrens D.M.D. PA
• Dr. John V. Sullivant, D.D.S. P.a.
• Casey Erin Drennin

• Dental Clinic/Center in Mountain Home, AR
• Providers in Mountain Home, 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 May 18, 2020; 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.