DENTAL CLINIC
NPI 1023277746
Dentist in Pine Bluff, AR

Q: What is Jefferson Comprehensive Care System Inc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since June 06, 2008

1101 TENNESSEE ST, PINE BLUFF, AR 71601(870) 543-2341(870) 535-4716 Get Directions Write a Review

NPPES record last updated: June 6, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dental Clinic NPPES

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

DENTAL CLINIC (NPI 1023277746) is a healthcare organization registered as a dentist in Pine Bluff, Arkansas and active in the NPI registry since June 2008. The organization lists Larnell W Davis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1023277746

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameJEFFERSON COMPREHENSIVE CARE SYSTEM INC

Location Address1101 TENNESSEE STPine Bluff, AR 71601-5801

Mailing AddressPo Box 1285Pine Bluff, AR 71613-1285 · (870) 543-2341 · Fax (870) 535-4716

Phone(870) 543-2341

Fax(870) 535-4716

Organization SubpartNo

Authorized OfficialLarnell W DavisExecutive Director · (870) 543-2380

Enumeration DateJune 6, 2008

✔ NPI 1023277746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1101 TENNESSEE ST, Pine Bluff, AR 71601

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Other Names 1

Doing Business AsDental Clinic

Other Identifiers 1

Medicaid102953631AR

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 6

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

MANUEL R KELLEY M.D.

Family Medicine