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AXPM-MOUNTAIN HOME DENTAL
NPI 1124563895
Dentist - General Practice in Mountain Home, AR

Active since January 04, 2017
500 HOSPITAL DR, MOUNTAIN HOME, AR 72653(870) 425-9757 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Axpm-mountain Home Dental NPPES

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

AXPM-MOUNTAIN HOME DENTAL (NPI 1124563895) is a healthcare organization registered as a general practice in Mountain Home, Arkansas and active in the NPI registry since January 2017. The organization lists Mark Dake, Owner, as its authorized official.

NPPES Registry Identity

NPI1124563895
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAXPM-MOUNTAIN HOME DENTAL
Location Address500 HOSPITAL DRMountain Home, AR 72653-2913
Mailing AddressPo Box 3450Little Rock, AR 72203-3450 · (501) 781-2777 · Fax (501) 781-2778
Phone(870) 425-9757
Organization SubpartNo
Authorized OfficialMark DakeOwner · (501) 781-2777
Enumeration DateJanuary 4, 2017
✔ NPI 1124563895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
500 HOSPITAL DR, Mountain Home, AR 72653
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 3

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

MR. BERNARD W PETKOVICH DDS PA
Dentist
500 HOSPITAL DR
MOUNTAIN HOME, AR 72653
Baxter County (870) 425-9757
B.W. PETKOVICH, D.D.S., PA
Dentist (General Practice)
500 HOSPITAL DR
MOUNTAIN HOME, AR 72653
Baxter County (870) 425-9757
DR. KIMBERLY PETKOVICH VAGLIO D.D.S.
Dentist
500 HOSPITAL DR
MOUNTAIN HOME, AR 72653
Baxter County (870) 425-9757

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 Axpm-Mountain Home Dental's NPI number?

The NPI number for Axpm-Mountain Home Dental is 1124563895. It was assigned to this organization in the NPPES registry on January 4, 2017.

Where is Axpm-Mountain Home Dental located?

Axpm-Mountain Home Dental is located at 500 Hospital Dr, Mountain Home, AR 72653. The listed phone number is (870) 425-9757.

What is Axpm-Mountain Home Dental's specialty?

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

What insurance does Axpm-Mountain Home Dental accept?

Health plans from UnitedHealthcare list Axpm-Mountain Home Dental 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 Axpm-Mountain Home Dental was last updated on January 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.