PEA RIDGE FAMILY DENTISTRY, PLLC
NPI 1407742828
Clinic/Center - Dental in Pea Ridge, AR

Active since June 13, 2025
459 SLACK STREET, PEA RIDGE, AR 72751(405) 930-4100 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pea Ridge Family Dentistry, Pllc NPPES

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

PEA RIDGE FAMILY DENTISTRY, PLLC (NPI 1407742828), doing business as Pea Ridge Family Dentistry, is a healthcare organization registered as a dental in Pea Ridge, Arkansas and active in the NPI registry since June 2025. The organization lists Benjamin Bowman, Owner, as its authorized official.

NPPES Registry Identity

NPI1407742828
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePEA RIDGE FAMILY DENTISTRY, PLLC
Location Address459 SLACK STREETPea Ridge, AR 72751
Mailing Address851 W I 35 Frontage Rd Ste 350Edmond, OK 73034-7472
Organization SubpartNo
Authorized OfficialBenjamin BowmanOwner · (405) 237-9289
Enumeration DateJune 13, 2025
NPPES CertifiedMay 28, 2025
NPI 1407742828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
459 SLACK STREET, Pea Ridge, AR 72751

Other Names 1

Doing Business AsPea Ridge Family Dentistry

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
459 SLACK STREET
PEA RIDGE, AR 72751
Dentist (General Practice)
459 SLACK STREET
PEA RIDGE, AR 72751

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 Pea Ridge Family Dentistry, PLLC's NPI number?

The NPI number for Pea Ridge Family Dentistry, PLLC is 1407742828. It was assigned to this organization in the NPPES registry on June 13, 2025. The provider is doing business as Pea Ridge Family Dentistry.

Where is Pea Ridge Family Dentistry, PLLC located?

Pea Ridge Family Dentistry, PLLC is located at 459 Slack Street, Pea Ridge, AR 72751. The listed phone number is (405) 930-4100.

What is Pea Ridge Family Dentistry, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Pea Ridge Family Dentistry, PLLC was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.