J. Anthony Smith DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

927 Issued in AR

Legal business name

J. ANTHONY SMITH DDS PA

Practice address

306 NE Blake St Ste 3
Bentonville, AR 72712-5328

Phone

(479) 273-9444

Fax

(479) 273-9405

NPI assigned

Jun 24, 2008

Organization subpart

No

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

Authorized official

Name

J. Anthony Smith, DDSNPI 1518162635

Title

Owner

Phone

(479) 273-9444

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• J. Anthony Smith, D.D.S.

  • General Practice Dentistry
  • Bentonville, AR
  • NPI 1518162635
  NPD Authorized official

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1922269711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CHESTNUT ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325402",
            "telephone_number": "501-329-8754",
            "fax_number": "501-329-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 NE BLAKE ST STE 3",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125328",
            "telephone_number": "479-273-9444",
            "fax_number": "479-273-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. ANTHONY SMITH DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-273-9444",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "927",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivey Family Medicine
• Traci L Ivey, MD
• Alyssa D. Ivy, M.S. CCC-SLP
• Joseph J Ivy, M.D.
• J & G Ventures, Inc (BrightStar of Benton County)
• Katherine Jaber
• Alexis R Jackson
• Brenda Sue Jackson, MHPP
• Lataya Jackson
• Marlin Tyler Jackson, B.A.

• Dental Clinic/Center in Bentonville, AR
• Providers in Bentonville, 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 Sep 28, 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.