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GKLM, PLLC
NPI 1194226506
Dentist - General Practice in Fayetteville, AR

Active since February 22, 2018
1874 N HUNTERS RDG STE 1, FAYETTEVILLE, AR 72701(479) 442-5092(479) 587-0932 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2021, Feb 22, 2018 (2 updates tracked since 2018).

About Gklm, Pllc NPPES

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

GKLM, PLLC (NPI 1194226506) is a healthcare organization registered as a general practice in Fayetteville, Arkansas and active in the NPI registry since February 2018. The organization lists Grant Alan Davidson, Dentist, as its authorized official.

NPPES Registry Identity

NPI1194226506
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGKLM, PLLC
Location Address1874 N HUNTERS RDG STE 1Fayetteville, AR 72701-2896
Mailing Address1874 N Hunters Rdg Ste 1Fayetteville, AR 72701-2896 · (479) 442-5092 · Fax (479) 587-0932
Phone(479) 442-5092
Fax(479) 587-0932
Organization SubpartNo
Authorized OfficialGrant Alan DavidsonDentist · (479) 442-5092
Enumeration DateFebruary 22, 2018
Last NPPES UpdateAugust 4, 20212 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
✔ NPI 1194226506 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 · 2439
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.
1874 N HUNTERS RDG STE 1, Fayetteville, AR 72701
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

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 Gklm, PLLC's NPI number?

The NPI number for Gklm, PLLC is 1194226506. It was assigned to this organization in the NPPES registry on February 22, 2018.

Where is Gklm, PLLC located?

Gklm, PLLC is located at 1874 N Hunters Rdg Ste 1, Fayetteville, AR 72701. The listed phone number is (479) 442-5092.

What is Gklm, 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 Gklm, PLLC was last updated on August 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.