BOLD DENTAL POTTSVILLE
NPI 1164892352
Dentist - General Practice in Pottsville, AR

Active since September 30, 2015
7146 SR 247, POTTSVILLE, AR 72858(479) 858-7382 Get Directions Write a Review

NPPES record last updated: September 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bold Dental Pottsville NPPES

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

BOLD DENTAL POTTSVILLE (NPI 1164892352) is a healthcare organization registered as a general practice in Pottsville, Arkansas and active in the NPI registry since September 2015. The organization lists Wendy Peduto, Transition Manager, as its authorized official.

NPPES Registry Identity

NPI1164892352
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOLD DENTAL POTTSVILLE
Location Address7146 SR 247Pottsville, AR 72858-8891
Mailing Address7146 Sr 247Pottsville, AR 72858-8891 · (479) 858-7382
Organization SubpartYesParent: Bold Dental Partners, Pllc
Authorized OfficialWendy PedutoTransition Manager · (501) 436-0518
Enumeration DateSeptember 30, 2015
NPI 1164892352 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.
7146 SR 247, Pottsville, AR 72858

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 2

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

Dentist (General Practice)
7146 SR 247
POTTSVILLE, AR 72858
Dentist
7146 SR 247
POTTSVILLE, AR 72858

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 Pottsville's NPI number?

The NPI number for Bold Dental Pottsville is 1164892352. It was assigned to this organization in the NPPES registry on September 30, 2015.

Where is Bold Dental Pottsville located?

Bold Dental Pottsville is located at 7146 Sr 247, Pottsville, AR 72858. The listed phone number is (479) 858-7382.

What is Bold Dental Pottsville'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 Pottsville was last updated on September 30, 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.