ARKANSAS PEDIATRIC DENTISTRY
NPI 1174949622
Dentist - Pediatric Dentistry in Little Rock, AR

Active since March 07, 2014
5905 W 12TH ST, LITTLE ROCK, AR 72204(501) 812-3109 Get Directions Write a Review

NPPES record last updated: March 7, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Arkansas Pediatric Dentistry NPPES

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

ARKANSAS PEDIATRIC DENTISTRY (NPI 1174949622) is a healthcare organization registered as a pediatric dentistry in Little Rock, Arkansas and active in the NPI registry since March 2014. The organization lists Cara Jones, President/dentist, as its authorized official.

NPPES Registry Identity

NPI1174949622
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameARKANSAS PEDIATRIC DENTISTRY
Location Address5905 W 12TH STLittle Rock, AR 72204-1608
Mailing Address5905 W 12th StLittle Rock, AR 72204-1608
Organization SubpartNo
Authorized OfficialCara JonesPresident/dentist · (501) 812-3109
Enumeration DateMarch 7, 2014
NPI 1174949622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

5905 W 12TH ST, Little Rock, AR 72204

Other Identifiers 1

Medicaid200887631AR

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 (Pediatric Dentistry)
5905 W 12TH ST
LITTLE ROCK, AR 72204
Dentist (Pediatric Dentistry)
5905 W 12TH ST
LITTLE ROCK, AR 72204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174949622, enumerated as an "organization" on March 07, 2014.

The provider is located at 5905 W 12TH ST LITTLE ROCK, AR 72204 and the phone number is (501) 812-3109.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.