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B.W. PETKOVICH, D.D.S., PA
NPI 1417268426
Dentist - General Practice in Mountain Home, AR

Active since June 24, 2010
500 HOSPITAL DR, MOUNTAIN HOME, AR 72653(870) 425-9757 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About B.w. Petkovich, D.d.s., Pa NPPES

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

B.W. PETKOVICH, D.D.S., PA (NPI 1417268426) is a healthcare organization registered as a general practice in Mountain Home, Arkansas and active in the NPI registry since June 2010. The organization lists Bernard William Petkovich, Dentist, as its authorized official.

NPPES Registry Identity

NPI1417268426
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameB.W. PETKOVICH, D.D.S., PA
Location Address500 HOSPITAL DRMountain Home, AR 72653-2913
Mailing Address500 Hospital DrMountain Home, AR 72653-2913 · (870) 425-9757
Phone(870) 425-9757
Organization SubpartNo
Authorized OfficialBernard William PetkovichDentist · (870) 425-9757
Enumeration DateJune 24, 2010
✔ NPI 1417268426 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 · 2371
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.
500 HOSPITAL DR, Mountain Home, AR 72653
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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 3

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

AXPM-MOUNTAIN HOME DENTAL
Dentist (General Practice)
500 HOSPITAL DR
MOUNTAIN HOME, AR 72653
Baxter County (870) 425-9757
MR. BERNARD W PETKOVICH DDS PA
Dentist
500 HOSPITAL DR
MOUNTAIN HOME, AR 72653
Baxter County (870) 425-9757
DR. KIMBERLY PETKOVICH VAGLIO D.D.S.
Dentist
500 HOSPITAL DR
MOUNTAIN HOME, AR 72653
Baxter County (870) 425-9757

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 B.W. Petkovich, D.D.S., PA's NPI number?

The NPI number for B.W. Petkovich, D.D.S., PA is 1417268426. It was assigned to this organization in the NPPES registry on June 24, 2010.

Where is B.W. Petkovich, D.D.S., PA located?

B.W. Petkovich, D.D.S., PA is located at 500 Hospital Dr, Mountain Home, AR 72653. The listed phone number is (870) 425-9757.

What is B.W. Petkovich, D.D.S., PA'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 B.W. Petkovich, D.D.S., PA was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.