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NORTH LITTLE ROCK PEDIATRIC DENTAL GROUP
NPI 1508889478
Dentist - Pediatric Dentistry in North Little Rock, AR

Active since July 25, 2006
4605 FAIRWAY AVE, NORTH LITTLE ROCK, AR 72116(501) 771-2990(501) 758-0408 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Little Rock Pediatric Dental Group NPPES

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

NORTH LITTLE ROCK PEDIATRIC DENTAL GROUP (NPI 1508889478) is a healthcare organization registered as a pediatric dentistry in North Little Rock, Arkansas and active in the NPI registry since July 2006. The organization lists Mark E Wilson, Co Owner, as its authorized official.

NPPES Registry Identity

NPI1508889478
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameG FRIEND DDS MS & M WILSON DDS MS PA
Location Address4605 FAIRWAY AVENorth Little Rock, AR 72116
Mailing Address4605 Fairway AveNorth Little Rock, AR 72116 · (501) 771-2990 · Fax (501) 753-0408
Phone(501) 771-2990
Fax(501) 758-0408
Organization SubpartNo
Authorized OfficialMark E WilsonCo Owner · (501) 771-2990
Enumeration DateJuly 25, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1508889478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in AR · 2793✔ Licensed in AR · 2817✔ Licensed in AR · 2700
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4605 FAIRWAY AVE, North Little Rock, AR 72116
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Other Names 1

Doing Business AsNorth Little Rock Pediatric Dental Group

Other Identifiers 1

Other5B771AR · Bcbs

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 2

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

PDG DENTAL GROUP PLLC
Dentist (Pediatric Dentistry)
4605 FAIRWAY AVE
NORTH LITTLE ROCK, AR 72116
Pulaski County (501) 771-2990
DR. MARK EDWARD WILSON DDS MS
Dentist (Pediatric Dentistry)
4605 FAIRWAY AVE
NORTH LITTLE ROCK, AR 72116
Pulaski County (501) 771-2990

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 G Friend Dds Ms & M Wilson Dds Ms PA's NPI number?

The NPI number for G Friend Dds Ms & M Wilson Dds Ms PA is 1508889478. It was assigned to this organization in the NPPES registry on July 25, 2006. The provider is doing business as North Little Rock Pediatric Dental Group.

Where is G Friend Dds Ms & M Wilson Dds Ms PA located?

G Friend Dds Ms & M Wilson Dds Ms PA is located at 4605 Fairway Ave, North Little Rock, AR 72116. The listed phone number is (501) 771-2990.

What is G Friend Dds Ms & M Wilson Dds Ms PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for G Friend Dds Ms & M Wilson Dds Ms PA was last updated on August 22, 2020. 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.