BOLD DENTAL PARTNERS, PLLC FT. SMITH
NPI 1063820215
Dentist - General Practice in Fort Smith, AR

Active since July 31, 2014
8309 PHOENIX AVE, FORT SMITH, AR 72903(479) 484-7645(479) 484-1551 Get Directions Write a Review

NPPES record last updated: July 31, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bold Dental Partners, Pllc Ft. Smith NPPES

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

BOLD DENTAL PARTNERS, PLLC FT. SMITH (NPI 1063820215) is a healthcare organization registered as a general practice in Fort Smith, Arkansas and active in the NPI registry since July 2014. The organization lists Jaclyn White, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1063820215
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOLD DENTAL PARTNERS, PLLC FT. SMITH
Location Address8309 PHOENIX AVEFort Smith, AR 72903-6141
Mailing Address8309 Phoenix AveFort Smith, AR 72903-6141 · (479) 484-7645 · Fax (479) 484-1551
Fax(479) 484-1551
Organization SubpartYesParent: Bold Dental Partners, Pllc
Authorized OfficialJaclyn WhiteCredentialing Manager · (479) 717-1047
Enumeration DateJuly 31, 2014
NPI 1063820215 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 · 3242
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.
8309 PHOENIX AVE, Fort Smith, AR 72903

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

Anesthesiology
8309 PHOENIX AVE
FORT SMITH, AR 72903
Dentist (Orthodontics and Dentofacial Orthopedics)
8309 PHOENIX AVE
FORT SMITH, AR 72903
Dentist (Oral and Maxillofacial Surgery)
8309 PHOENIX AVE
FORT SMITH, AR 72903
Dentist (General Practice)
8309 PHOENIX AVE
FORT SMITH, AR 72903
Dentist (General Practice)
8309 PHOENIX AVE
FORT SMITH, AR 72903
Dentist (Oral and Maxillofacial Surgery)
8309 PHOENIX AVE
FORT SMITH, AR 72903
Dentist (General Practice)
8309 PHOENIX AVE
FORT SMITH, AR 72903
Dentist
8309 PHOENIX AVE
FORT SMITH, AR 72903

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 Bold Dental Partners, PLLC Ft. Smith's NPI number?

The NPI number for Bold Dental Partners, PLLC Ft. Smith is 1063820215. It was assigned to this organization in the NPPES registry on July 31, 2014.

Where is Bold Dental Partners, PLLC Ft. Smith located?

Bold Dental Partners, PLLC Ft. Smith is located at 8309 Phoenix Ave, Fort Smith, AR 72903. The listed phone number is (479) 484-7645.

What is Bold Dental Partners, PLLC Ft. Smith'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 Bold Dental Partners, PLLC Ft. Smith was last updated on July 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.