SOUTHERN DENTAL GROUP, PLLC
NPI 1134597206
Dentist in Wynne, AR

Q: What is Southern Dental Group, PLLC's NPI number?

The NPI number for Southern Dental Group, PLLC is 1134597206. It was assigned to this organization in the NPPES registry on September 8, 2015.

Q: What is Southern Dental Group, PLLC's specialty?

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

Active since September 08, 2015

2100 KILLOUGH RD N, WYNNE, AR 72396(870) 243-4406 Get Directions Write a Review

NPPES record last updated: September 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Southern Dental Group, Pllc NPPES

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

SOUTHERN DENTAL GROUP, PLLC (NPI 1134597206) is a healthcare organization registered as a dentist in Wynne, Arkansas and active in the NPI registry since September 2015. The organization lists William Reynolds Little, Owner, as its authorized official.

NPPES Registry Identity

NPI1134597206

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSOUTHERN DENTAL GROUP, PLLC

Location Address2100 KILLOUGH RD NWynne, AR 72396-1009

Mailing AddressPo Box 17151Jonesboro, AR 72403-6720 · (870) 243-4406

Phone(870) 243-4406

Organization SubpartNo

Authorized OfficialWilliam Reynolds LittleOwner · (870) 243-4406

Enumeration DateSeptember 8, 2015

✔ NPI 1134597206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in AR · 3930

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.

2100 KILLOUGH RD N, Wynne, AR 72396

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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 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.

TOLAND DENTAL

Dentist (General Practice)

2100 KILLOUGH RD N
WYNNE, AR 72396

Cross County (870) 238-0400

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, PLLC's NPI number?

The NPI number for Southern Dental Group, PLLC is 1134597206. It was assigned to this organization in the NPPES registry on September 8, 2015.

Where is Southern Dental Group, PLLC located?

Southern Dental Group, PLLC is located at 2100 Killough Rd N, Wynne, AR 72396. The listed phone number is (870) 243-4406.

What is Southern Dental Group, PLLC'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 Southern Dental Group, PLLC was last updated on September 8, 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.