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SMILE SHOPPE PEDIATRIC DENTISTRY
NPI 1033155411
Dentist - Pediatric Dentistry in Rogers, AR

Active since June 22, 2006
5518 WALSH LN, ROGERS, AR 72758(479) 631-6377(479) 273-5967 Get Directions Write a Review

NPPES record last updated: January 19, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Smile Shoppe Pediatric Dentistry NPPES

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

SMILE SHOPPE PEDIATRIC DENTISTRY (NPI 1033155411) is a healthcare organization registered as a pediatric dentistry in Rogers, Arkansas and active in the NPI registry since June 2006. The organization lists Jeffrey D Rhodes, President, as its authorized official.

NPPES Registry Identity

NPI1033155411
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameNORTHWEST ARKANSAS PEDIATRIC DENTAL CENTER
Location Address5518 WALSH LNRogers, AR 72758-8947
Mailing Address5518 Walsh LnRogers, AR 72758-8947 · (479) 631-6377 · Fax (479) 273-5967
Phone(479) 631-6377
Fax(479) 273-5967
Organization SubpartNo
Authorized OfficialJeffrey D RhodesPresident · (479) 631-6377
Enumeration DateJune 22, 2006
Last NPPES UpdateJanuary 19, 2016
✔ NPI 1033155411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in AR · 2924
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
5518 WALSH LN, Rogers, AR 72758
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Other Names 1

Doing Business AsSmile Shoppe Pediatric Dentistry

Other Identifiers 1

Medicaid159561631AR

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. JEFFREY D RHODES DDS, MS
Dentist (Pediatric Dentistry)
5518 WALSH LN
ROGERS, AR 72758
Benton County (479) 631-6377

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 Northwest Arkansas Pediatric Dental Center's NPI number?

The NPI number for Northwest Arkansas Pediatric Dental Center is 1033155411. It was assigned to this organization in the NPPES registry on June 22, 2006. The provider is doing business as Smile Shoppe Pediatric Dentistry.

Where is Northwest Arkansas Pediatric Dental Center located?

Northwest Arkansas Pediatric Dental Center is located at 5518 Walsh Ln, Rogers, AR 72758. The listed phone number is (479) 631-6377.

What is Northwest Arkansas Pediatric Dental Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Northwest Arkansas Pediatric Dental Center was last updated on January 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.