S TODD PHELAN, DDS, PA
NPI 1508054214
Dentist - General Practice in Rogers, AR

Active since October 09, 2007
2102 W PLEASANT GROVE RD, SUITE 1, ROGERS, AR 72758(479) 636-3400(479) 636-3407 Get Directions Write a Review

NPPES record last updated: December 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About S Todd Phelan, Dds, Pa NPPES

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

S TODD PHELAN, DDS, PA (NPI 1508054214) is a healthcare organization registered as a general practice in Rogers, Arkansas and active in the NPI registry since October 2007. The organization lists Todd Phelan, President, as its authorized official.

NPPES Registry Identity

NPI1508054214
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameS TODD PHELAN, DDS, PA
Location Address2102 W PLEASANT GROVE RD, SUITE 1Rogers, AR 72758
Mailing Address2102 W Pleasant Grove Rd, Suite 1Rogers, AR 72758 · (479) 636-3400 · Fax (479) 636-3407
Fax(479) 636-3407
Organization SubpartNo
Authorized OfficialTodd PhelanPresident · (479) 636-3400
Enumeration DateOctober 9, 2007
Last NPPES UpdateDecember 11, 2008
NPI 1508054214 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 · 3489
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.
2102 W PLEASANT GROVE RD, Rogers, AR 72758

Other Identifiers 1

Medicaid167741631AR

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.

Dentist (General Practice)
2102 W PLEASANT GROVE RD
ROGERS, AR 72758
Dentist (General Practice)
2102 W PLEASANT GROVE RD, SUITE 1
ROGERS, AR 72758
Dentist (General Practice)
2102 W PLEASANT GROVE RD
ROGERS, AR 72758

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 S Todd Phelan, Dds, PA's NPI number?

The NPI number for S Todd Phelan, Dds, PA is 1508054214. It was assigned to this organization in the NPPES registry on October 9, 2007.

Where is S Todd Phelan, Dds, PA located?

S Todd Phelan, Dds, PA is located at 2102 W Pleasant Grove Rd Suite 1, Rogers, AR 72758. The listed phone number is (479) 636-3400.

What is S Todd Phelan, Dds, 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 S Todd Phelan, Dds, PA was last updated on December 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.