1. Home
  2. Directory
  3. Arkansas
  4. North Little Rock
  5. Dentist
  6. NPI Profile

ORAL SURGERY OF CENTRAL ARKANSAS
NPI 1245829027
Dentist - Oral and Maxillofacial Surgery in North Little Rock, AR

Active since January 15, 2021
4701 FAIRWAY AVE STE D, NORTH LITTLE ROCK, AR 72116(501) 791-7600(501) 791-2824 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 18, 2021, Jan 15, 2021 (2 updates tracked since 2021).

About Oral Surgery Of Central Arkansas NPPES

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

ORAL SURGERY OF CENTRAL ARKANSAS (NPI 1245829027), doing business as Richard Elimon,d.m.d., is a healthcare organization registered as an oral and maxillofacial surgery in North Little Rock, Arkansas and active in the NPI registry since January 2021. The organization maintains a secondary practice location in Conway and lists Jennifer Patterson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1245829027
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL SURGERY OF CENTRAL ARKANSAS
Location Address4701 FAIRWAY AVE STE DNorth Little Rock, AR 72116-8069
Mailing Address4701 Fairway Ave Ste DNorth Little Rock, AR 72116-8069 · (501) 327-5255 · Fax (501) 791-2824
Phone(501) 791-7600
Fax(501) 791-2824
Organization SubpartNo
Authorized OfficialJennifer PattersonOffice Manager · (013) 275-2555
Enumeration DateJanuary 15, 2021
Last NPPES UpdateJanuary 18, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2021
✔ NPI 1245829027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4701 FAIRWAY AVE STE D, North Little Rock, AR 72116
Open in Google Maps ↗

Other Names 2

Doing Business AsRichard Elimon,d.m.d.
Former Legal Business NameRichard Elimon

Secondary Practice Location 1

Location 1707 Parkway St Ste 103Conway, AR 72034-5363 · Phone (501) 327-5255 · Fax (501) 791-2824

Other Identifiers 1

Medicaid200352679AR

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

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 Oral Surgery Of Central Arkansas's NPI number?

The NPI number for Oral Surgery Of Central Arkansas is 1245829027. It was assigned to this organization in the NPPES registry on January 15, 2021. The provider is doing business as Richard Elimon,D.M.D.. The provider was formerly known as Richard Elimon.

Where is Oral Surgery Of Central Arkansas located?

Oral Surgery Of Central Arkansas is located at 4701 Fairway Ave Ste D, North Little Rock, AR 72116. The listed phone number is (501) 791-7600.

What is Oral Surgery Of Central Arkansas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Oral Surgery Of Central Arkansas was last updated on January 18, 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.