AR DENTAL & TMJ - LITTLE ROCK, LLC
NPI 1508114067
Dentist - Oral and Maxillofacial Surgery in Little Rock, AR

Active since August 15, 2012
12018 CHENAL PKWY, LITTLE ROCK, AR 72211(501) 225-1577(501) 219-4780 Get Directions Write a Review

NPPES record last updated: August 15, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ar Dental & Tmj - Little Rock, Llc NPPES

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

AR DENTAL & TMJ - LITTLE ROCK, LLC (NPI 1508114067) is a healthcare organization registered as an oral and maxillofacial surgery in Little Rock, Arkansas and active in the NPI registry since August 2012. The organization lists Erin Cupan, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1508114067
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameAR DENTAL & TMJ - LITTLE ROCK, LLC
Location Address12018 CHENAL PKWYLittle Rock, AR 72211-2759
Mailing Address12018 Chenal PkwyLittle Rock, AR 72211-2759 · (501) 225-1577 · Fax (501) 219-4780
Fax(501) 219-4780
Organization SubpartNo
Authorized OfficialErin CupanPractice Administrator · (501) 225-1577
Enumeration DateAugust 15, 2012
NPI 1508114067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in AR · 3396
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

12018 CHENAL PKWY, Little Rock, AR 72211

Other Identifiers 1

Medicaid192473680AR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)
12018 CHENAL PKWY
LITTLE ROCK, AR 72211
Clinic/Center (Dental)
12018 CHENAL PKWY
LITTLE ROCK, AR 72211
Dentist (General Practice)
12018 CHENAL PKWY
LITTLE ROCK, AR 72211

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 Ar Dental & Tmj - Little Rock, LLC's NPI number?

The NPI number for Ar Dental & Tmj - Little Rock, LLC is 1508114067. It was assigned to this organization in the NPPES registry on August 15, 2012.

Where is Ar Dental & Tmj - Little Rock, LLC located?

Ar Dental & Tmj - Little Rock, LLC is located at 12018 Chenal Pkwy, Little Rock, AR 72211. The listed phone number is (501) 225-1577.

What is Ar Dental & Tmj - Little Rock, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Ar Dental & Tmj - Little Rock, LLC was last updated on August 15, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.