1. Home
  2. Directory
  3. Arkansas
  4. Russellville
  5. Dentist
  6. NPI Profile

RUSSELLVILLE FAMILY DENTISTRY PA
NPI 1508287251
Dentist - General Practice in Russellville, AR

Active since December 25, 2013
104 N UTAH AVE, RUSSELLVILLE, AR 72801(479) 968-1706 Get Directions Write a Review

NPPES record last updated: December 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russellville Family Dentistry Pa NPPES

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

RUSSELLVILLE FAMILY DENTISTRY PA (NPI 1508287251) is a healthcare organization registered as a general practice in Russellville, Arkansas and active in the NPI registry since December 2013. The organization lists Michael Gregory Kitchens, President, as its authorized official.

NPPES Registry Identity

NPI1508287251
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRUSSELLVILLE FAMILY DENTISTRY PA
Location Address104 N UTAH AVERussellville, AR 72801-2740
Mailing Address104 N Utah AveRussellville, AR 72801-2740 · (479) 968-1706
Phone(479) 968-1706
Organization SubpartNo
Authorized OfficialMichael Gregory KitchensPresident · (479) 968-1706
Enumeration DateDecember 25, 2013
✔ NPI 1508287251 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 · 3895
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.
104 N UTAH AVE, Russellville, AR 72801
Open in Google Maps ↗

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. MICHAEL GREGORY KITCHENS D.D.S.
Dentist
104 N UTAH AVE
RUSSELLVILLE, AR 72801
Pope County (479) 968-1706

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 Russellville Family Dentistry PA's NPI number?

The NPI number for Russellville Family Dentistry PA is 1508287251. It was assigned to this organization in the NPPES registry on December 25, 2013.

Where is Russellville Family Dentistry PA located?

Russellville Family Dentistry PA is located at 104 N Utah Ave, Russellville, AR 72801. The listed phone number is (479) 968-1706.

What is Russellville Family Dentistry 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 Russellville Family Dentistry PA was last updated on December 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.