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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: August 16, 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
Phone(479) 783-4182
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
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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.

DR. TIMOTHY WAYNE LAWRENCE DDS
Dentist (Pediatric Dentistry)
417 S 16TH ST
FORT SMITH, AR 72901
Sebastian County (479) 783-4182

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 River Valley Pediatric Dentistry PLLC's NPI number?

The NPI number for River Valley Pediatric Dentistry PLLC is 1487775011. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider was formerly known as Johnston Lawrence River Valley Pediatric Dentistry PLLC.

Where is River Valley Pediatric Dentistry PLLC located?

River Valley Pediatric Dentistry PLLC is located at 417 S 16th St, Fort Smith, AR 72901. The listed phone number is (479) 783-4182.

What is River Valley Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for River Valley Pediatric Dentistry PLLC was last updated on July 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.