17 EAGLE VILONIA PROFESSIONAL LLC
NPI 1508756073
Dentist - General Practice in Vilonia, AR

Q: What is 17 Eagle Vilonia Professional LLC's NPI number?

The NPI number for 17 Eagle Vilonia Professional LLC is 1508756073. It was assigned to this organization in the NPPES registry on July 7, 2025. The provider is doing business as Lane Family Dentistry.

Q: What is 17 Eagle Vilonia Professional LLC's specialty?

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

Active since July 07, 2025

17 EAGLE PARK DR, VILONIA, AR 72173(501) 796-3903 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About 17 Eagle Vilonia Professional Llc NPPES

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

17 EAGLE VILONIA PROFESSIONAL LLC (NPI 1508756073), doing business as Lane Family Dentistry, is a healthcare organization registered as a general practice in Vilonia, Arkansas and active in the NPI registry since July 2025. The organization lists Ashley Forsyth, Payor Relations, as its authorized official.

NPPES Registry Identity

NPI1508756073

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business Name17 EAGLE VILONIA PROFESSIONAL LLC

Location Address17 EAGLE PARK DRVilonia, AR 72173-9050

Mailing Address17 Eagle Park DrVilonia, AR 72173-9050 · (501) 796-3903

Phone(501) 796-3903

Organization SubpartNo

Authorized OfficialAshley ForsythPayor Relations · (501) 796-3903

Enumeration DateJuly 7, 2025

NPPES CertifiedJuly 7, 2025

✔ NPI 1508756073 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.

17 EAGLE PARK DR, Vilonia, AR 72173

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Other Names 1

Doing Business AsLane Family Dentistry

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.

BRIAN LANE D D S PA

Dentist

17 EAGLE PARK DR
VILONIA, AR 72173

Faulkner County (501) 425-1583

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 17 Eagle Vilonia Professional LLC's NPI number?

The NPI number for 17 Eagle Vilonia Professional LLC is 1508756073. It was assigned to this organization in the NPPES registry on July 7, 2025. The provider is doing business as Lane Family Dentistry.

Where is 17 Eagle Vilonia Professional LLC located?

17 Eagle Vilonia Professional LLC is located at 17 Eagle Park Dr, Vilonia, AR 72173. The listed phone number is (501) 796-3903.

What is 17 Eagle Vilonia Professional LLC'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 17 Eagle Vilonia Professional LLC was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.