MAMMOTH SPRING DENTAL CLINIC, LLC
NPI 1023349651
Dentist in Mammoth Spring, AR

Q: What is Mammoth Spring Dental Clinic, LLC's NPI number?

The NPI number for Mammoth Spring Dental Clinic, LLC is 1023349651. It was assigned to this organization in the NPPES registry on January 21, 2010.

Q: What is Mammoth Spring Dental Clinic, LLC's specialty?

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

Active since January 21, 2010

180 MAIN STREET, MAMMOTH SPRING, AR 72554(870) 625-3262(870) 625-3673 Get Directions Write a Review

NPPES record last updated: January 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mammoth Spring Dental Clinic, Llc NPPES

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

MAMMOTH SPRING DENTAL CLINIC, LLC (NPI 1023349651) is a healthcare organization registered as a dentist in Mammoth Spring, Arkansas and active in the NPI registry since January 2010. The organization lists Michael D. Kersey, Member, as its authorized official.

NPPES Registry Identity

NPI1023349651

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameMAMMOTH SPRING DENTAL CLINIC, LLC

Location Address180 MAIN STREETMammoth Spring, AR 72554

Mailing AddressP.o. Box 128Mammoth Spring, AR 72554 · (870) 625-3262 · Fax (870) 625-3673

Phone(870) 625-3262

Fax(870) 625-3673

Organization SubpartNo

Authorized OfficialMichael D. KerseyMember · (870) 625-3262

Enumeration DateJanuary 21, 2010

✔ NPI 1023349651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in AR · 2661

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.

180 MAIN STREET, Mammoth Spring, AR 72554

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Other Identifiers 4

Other889-284AR · United Concordia

Other56593AR · Blue Cross Blue Shield

Medicaid102276608AR

Medicaid402069306MO

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

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

DR. MICHAEL DEAN KERSEY DDS

Dentist

180 MAIN STREET
MAMMOTH SPRING, AR 72554

Fulton County (870) 625-3262

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 Mammoth Spring Dental Clinic, LLC's NPI number?

The NPI number for Mammoth Spring Dental Clinic, LLC is 1023349651. It was assigned to this organization in the NPPES registry on January 21, 2010.

Where is Mammoth Spring Dental Clinic, LLC located?

Mammoth Spring Dental Clinic, LLC is located at 180 Main Street, Mammoth Spring, AR 72554. The listed phone number is (870) 625-3262.

What is Mammoth Spring Dental Clinic, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mammoth Spring Dental Clinic, LLC was last updated on January 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.