RIVER VALLEY PEDIATRIC DENTISTRY PLLC
NPI 1487775011
Dentist - Pediatric Dentistry in Fort Smith, AR

Active since April 02, 2007
417 S 16TH ST, FORT SMITH, AR 72901(479) 783-4182(479) 783-4379 Get Directions Write a Review

NPPES record last updated: July 1, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About River Valley Pediatric Dentistry Pllc NPPES

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

RIVER VALLEY PEDIATRIC DENTISTRY PLLC (NPI 1487775011), doing business as Johnston Lawrence River Valley Pediatric Dentistry Pllc, is a healthcare organization registered as a pediatric dentistry in Fort Smith, Arkansas and active in the NPI registry since April 2007. The organization lists Timothy Wayne Lawrence, Owner, as its authorized official.

NPPES Registry Identity

NPI1487775011
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameRIVER VALLEY PEDIATRIC DENTISTRY PLLC
Location Address417 S 16TH STFort Smith, AR 72901-4625
Mailing Address417 S 16th StFort Smith, AR 72901-4625 · (479) 783-4182 · Fax (479) 783-4379
Fax(479) 783-4379
Organization SubpartNo
Authorized OfficialTimothy Wayne LawrenceOwner · (479) 783-4182
Enumeration DateApril 2, 2007
Last NPPES UpdateJuly 1, 2008
NPI 1487775011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in AR · 3089
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.

417 S 16TH ST, Fort Smith, AR 72901

Other Names 1

Former Legal Business NameJohnston Lawrence River Valley Pediatric Dentistry Pllc

Other Identifiers 2

Medicaid155183631AR
Medicaid131026608AR

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

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

Dentist (Pediatric Dentistry)
417 S 16TH ST
FORT SMITH, AR 72901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487775011, enumerated as an "organization" on April 02, 2007.

The provider is located at 417 S 16TH ST FORT SMITH, AR 72901 and the phone number is (479) 783-4182.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.