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BOLD DENTAL
NPI 1497245997
Clinic/Center - Dental in Fayetteville, AR

Active since May 10, 2018
640 N GARLAND AVE, FAYETTEVILLE, AR 72701(479) 521-2653 Get Directions Write a Review

NPPES record last updated: May 10, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Bold Dental NPPES

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

BOLD DENTAL (NPI 1497245997) is a healthcare organization registered as a dental in Fayetteville, Arkansas and active in the NPI registry since May 2018. The organization lists Van Michael Mcqueen, Owner, as its authorized official.

NPPES Registry Identity

NPI1497245997
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMCQUEEN DENTAL PLLC
Location Address640 N GARLAND AVEFayetteville, AR 72701-3116
Mailing Address3321 Indian Springs AveSpringdale, AR 72762-8852 · (870) 926-0471
Phone(479) 521-2653
Organization SubpartNo
Authorized OfficialVan Michael McqueenOwner · (870) 926-0471
Enumeration DateMay 10, 2018
✔ NPI 1497245997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in AR · 4178
640 N GARLAND AVE, Fayetteville, AR 72701
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Other Names 1

Doing Business AsBold Dental

Other Identifiers 1

Other1518496215AR · Individual Npi

Other Providers at the Same Location NPPES

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

BOLD DENTAL PARTNERS PLLC
Dentist
640 N GARLAND AVE, SUITE 104
FAYETTEVILLE, AR 72701
Washington County (479) 521-2653

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 Mcqueen Dental PLLC's NPI number?

The NPI number for Mcqueen Dental PLLC is 1497245997. It was assigned to this organization in the NPPES registry on May 10, 2018. The provider is doing business as Bold Dental.

Where is Mcqueen Dental PLLC located?

Mcqueen Dental PLLC is located at 640 N Garland Ave, Fayetteville, AR 72701. The listed phone number is (479) 521-2653.

What is Mcqueen Dental 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 Mcqueen Dental PLLC was last updated on May 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.