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MAUMELLE FAMILY DENTISTRY, PLLC
NPI 1154840593
Dentist - General Practice in Maumelle, AR

Active since September 18, 2017
1701 CLUB MANOR DR STE 4, MAUMELLE, AR 72113(501) 851-1414 Get Directions Write a Review

NPPES record last updated: September 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maumelle Family Dentistry, Pllc NPPES

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

MAUMELLE FAMILY DENTISTRY, PLLC (NPI 1154840593) is a healthcare organization registered as a general practice in Maumelle, Arkansas and active in the NPI registry since September 2017. The organization lists Richard H Lewis, Owner, as its authorized official.

NPPES Registry Identity

NPI1154840593
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMAUMELLE FAMILY DENTISTRY, PLLC
Location Address1701 CLUB MANOR DR STE 4Maumelle, AR 72113-7401
Mailing Address1701 Club Manor Dr Ste 4Maumelle, AR 72113-7401 · (501) 851-1414
Phone(501) 851-1414
Organization SubpartNo
Authorized OfficialRichard H LewisOwner · (501) 851-1414
Enumeration DateSeptember 18, 2017
✔ NPI 1154840593 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 · 2244
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.
1701 CLUB MANOR DR STE 4, Maumelle, AR 72113
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Other Identifiers 1

Medicaid104718608AR

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 3

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

DW SMILES PLLC
Dentist (General Practice)
1701 CLUB MANOR DR STE 4
MAUMELLE, AR 72113
Pulaski County (501) 851-1414
MAUMELLE FAMILY DENTISTRY
Dentist (General Practice)
1701 CLUB MANOR DR STE 4
MAUMELLE, AR 72113
Pulaski County (501) 851-1414
CAROLINE ELIZABETH OUDIN DDS
Dentist (General Practice)
1701 CLUB MANOR DR STE 4
MAUMELLE, AR 72113
Pulaski County (501) 851-1414

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 Maumelle Family Dentistry, PLLC's NPI number?

The NPI number for Maumelle Family Dentistry, PLLC is 1154840593. It was assigned to this organization in the NPPES registry on September 18, 2017.

Where is Maumelle Family Dentistry, PLLC located?

Maumelle Family Dentistry, PLLC is located at 1701 Club Manor Dr Ste 4, Maumelle, AR 72113. The listed phone number is (501) 851-1414.

What is Maumelle Family Dentistry, PLLC'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 Maumelle Family Dentistry, PLLC was last updated on September 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.