Jolly Dental-Benton, P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JOLLY DENTAL-BENTON, P.A.

Practice address

818 W South St
Benton, AR 72015-4162

Phone

(501) 776-0564

NPI assigned

Jun 20, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Danielle Brown

Title

Practice Administrator

Phone

(501) 758-7462

Specialties & licenses 1

Addresses

Other names 1

• JFD-Benton Doing business as

Locations

Practitioners 3

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

• McKenzie Suzanne Smith Carr, DDS

  • Dentist
  • Benton, AR
  • NPI 1275494395
  NPD
• Alexis Balisterri Rountree, DDS

  • General Practice Dentistry
  • Bryant, AR
  • NPI 1770274532
  NPD
• Robert R Carlisle, DDS

  • General Practice Dentistry
  • Benton, AR
  • NPI 1477618114
  NPD (past)

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1962399105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 FAIRWAY AVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168052",
            "telephone_number": "501-758-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W SOUTH ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720154162",
            "telephone_number": "501-776-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLLY DENTAL-BENTON, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "501-758-7462",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JFD-Benton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roger D Johnson, LCSW
• Sarah Johnson
• Tracy Johnson, RECOVERY ASSISTANT
• Paul Edgar Johnston, C.P., C-PED
• Stewart Gregory Johnston
• Mary Kathryn Jolly, SPEECH THERAPIST
• Alissan R. Jones
• Andrea Jones
• Ashlee Lane Jones, OTD, OTR/L
• Austin Jones

• Dental Clinic/Center in Benton, AR
• Providers in Benton, 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 Jun 20, 2025; 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.