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PRAIRIE GROVE DENTAL CENTER PLLC
NPI 1508454612
Dentist - General Practice in Prairie Grove, AR

Active since January 05, 2021
1121 E HERITAGE PKWY, PRAIRIE GROVE, AR 72753(479) 244-2052(479) 846-1940 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prairie Grove Dental Center Pllc NPPES

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

PRAIRIE GROVE DENTAL CENTER PLLC (NPI 1508454612) is a healthcare organization registered as a general practice in Prairie Grove, Arkansas and active in the NPI registry since January 2021. The organization lists Alan Douglas Clark, Dentist-owner, as its authorized official.

NPPES Registry Identity

NPI1508454612
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRAIRIE GROVE DENTAL CENTER PLLC
Location Address1121 E HERITAGE PKWYPrairie Grove, AR 72753-6013
Mailing Address1121 E Heritage PkwyPrairie Grove, AR 72753-6013 · (479) 244-2052 · Fax (479) 846-1940
Phone(479) 244-2052
Fax(479) 846-1940
Organization SubpartNo
Authorized OfficialAlan Douglas ClarkDentist-owner · (479) 244-2052
Enumeration DateJanuary 5, 2021
NPPES CertifiedJanuary 5, 2021
✔ NPI 1508454612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1121 E HERITAGE PKWY, Prairie Grove, AR 72753
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES

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

NICK W DOLLAR D.D.S.
Dentist
1121 E HERITAGE PKWY
PRAIRIE GROVE, AR 72753
Washington County (479) 400-1117

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 Prairie Grove Dental Center PLLC's NPI number?

The NPI number for Prairie Grove Dental Center PLLC is 1508454612. It was assigned to this organization in the NPPES registry on January 5, 2021.

Where is Prairie Grove Dental Center PLLC located?

Prairie Grove Dental Center PLLC is located at 1121 E Heritage Pkwy, Prairie Grove, AR 72753. The listed phone number is (479) 244-2052.

What is Prairie Grove Dental Center PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Prairie Grove Dental Center PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Prairie Grove Dental Center PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prairie Grove Dental Center PLLC was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.