1. Home
  2. Directory
  3. Arkansas
  4. Fort Smith
  5. Dentist
  6. NPI Profile

SOUTHERN DENTAL OF FORT SMITH PLLC
NPI 1003302761
Dentist - General Practice in Fort Smith, AR

Active since July 06, 2018
4208 JENNY LIND RD, FORT SMITH, AR 72901(479) 782-3400 Get Directions Write a Review

NPPES record last updated: July 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Dental Of Fort Smith Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN DENTAL OF FORT SMITH PLLC (NPI 1003302761) is a healthcare organization registered as a general practice in Fort Smith, Arkansas and active in the NPI registry since July 2018. The organization lists William Reynolds Little, Owner, as its authorized official.

NPPES Registry Identity

NPI1003302761
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHERN DENTAL OF FORT SMITH PLLC
Location Address4208 JENNY LIND RDFort Smith, AR 72901-7660
Mailing Address100 E Huntington Ave Ste EJonesboro, AR 72401-2900 · (870) 243-4406
Phone(479) 782-3400
Organization SubpartNo
Authorized OfficialWilliam Reynolds LittleOwner · (870) 243-4406
Enumeration DateJuly 6, 2018
✔ NPI 1003302761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AR · 3930
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4208 JENNY LIND RD, Fort Smith, AR 72901
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOLD DENTAL FORT SMITH WEST
Dentist (General Practice)
4208 JENNY LIND RD
FORT SMITH, AR 72901
Sebastian County (479) 782-3400
DR. J STEPHEN WILSON D.D.S.
Dentist (General Practice)
4208 JENNY LIND RD
FORT SMITH, AR 72901
Sebastian County (479) 782-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Dental Of Fort Smith PLLC's NPI number?

The NPI number for Southern Dental Of Fort Smith PLLC is 1003302761. It was assigned to this organization in the NPPES registry on July 6, 2018.

Where is Southern Dental Of Fort Smith PLLC located?

Southern Dental Of Fort Smith PLLC is located at 4208 Jenny Lind Rd, Fort Smith, AR 72901. The listed phone number is (479) 782-3400.

What is Southern Dental Of Fort Smith PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Southern Dental Of Fort Smith PLLC was last updated on July 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.