BLAKE CHANDLER DMD
NPI 1235188012
Dentist - Pediatric Dentistry in Bryant, AR

Active since May 09, 2006
7409 ALCOA RD STE 5, BRYANT, AR 72022(602) 430-0106 Get Directions Write a Review

NPPES record last updated: March 27, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Blake Chandler Dmd NPPES

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

BLAKE CHANDLER DMD (NPI 1235188012) is an individual pediatric dentistry provider in Bryant, Arkansas, licensed in Arkansas (4002) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1235188012
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameBLAKE CHANDLERCredential: DMD
Location Address7409 ALCOA RD STE 5Bryant, AR 72022-6216
Mailing Address4004 Stoneybrook DrBryant, AR 72022-8300 · (602) 430-0106
Sole ProprietorYes
Enumeration DateMay 9, 2006
Last NPPES UpdateMarch 27, 2016
NPI 1235188012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses Licensed in AR · 4002 Licensed in TX · 30776
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.

7409 ALCOA RD STE 5, Bryant, AR 72022

Other Identifiers 2

Medicaid721359AZ
Medicaid1235188012AR

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist
7409 ALCOA RD STE 5
BRYANT, AR 72022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235188012, enumerated as an "individual" on May 09, 2006.

The provider is located at 7409 ALCOA RD STE 5 BRYANT, AR 72022 and the phone number is (602) 430-0106.

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

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.