SOUTHERN DENTAL GROUP BALD KNOB, PLLC
NPI 1073987483
Dentist - General Practice in Bald Knob, AR

Active since November 23, 2015
2802 HIGHWAY 367 N, BALD KNOB, AR 72010(870) 243-4406 Get Directions Write a Review

NPPES record last updated: November 23, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Southern Dental Group Bald Knob, Pllc NPPES

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

SOUTHERN DENTAL GROUP BALD KNOB, PLLC (NPI 1073987483) is a healthcare organization registered as a general practice in Bald Knob, Arkansas and active in the NPI registry since November 2015. The organization lists William Reynolds Little, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1073987483
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHERN DENTAL GROUP BALD KNOB, PLLC
Location Address2802 HIGHWAY 367 NBald Knob, AR 72010-3165
Mailing AddressPo Box 17151Jonesboro, AR 72403-6720 · (870) 243-4406
Organization SubpartNo
Authorized OfficialWilliam Reynolds LittleOwner/dentist · (870) 243-4406
Enumeration DateNovember 23, 2015
NPI 1073987483 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.
2802 HIGHWAY 367 N, Bald Knob, AR 72010

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

Accepted Insurance

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.

Dentist (Pediatric Dentistry)
2802 HIGHWAY 367 N
BALD KNOB, AR 72010
Clinic/Center (Dental)
2802 HIGHWAY 367 N
BALD KNOB, AR 72010

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 Group Bald Knob, PLLC's NPI number?

The NPI number for Southern Dental Group Bald Knob, PLLC is 1073987483. It was assigned to this organization in the NPPES registry on November 23, 2015.

Where is Southern Dental Group Bald Knob, PLLC located?

Southern Dental Group Bald Knob, PLLC is located at 2802 Highway 367 N, Bald Knob, AR 72010. The listed phone number is (870) 243-4406.

What is Southern Dental Group Bald Knob, PLLC's specialty?

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

What insurance does Southern Dental Group Bald Knob, PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 3 other insurers list Southern Dental Group Bald Knob, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Dental Group Bald Knob, PLLC was last updated on November 23, 2015. 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.