PRECIDENT, PLLC
NPI 1588176630
Dentist - Oral and Maxillofacial Surgery in Rogers, AR

NPI Status: Active since October 30, 2017

Contact Information

3333 S PINNACLE HILLS PKWY STE 140
ROGERS, AR
ZIP 72758
Phone: (479) 755-3000
Fax: (479) 616-1914

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  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery
  • CLIA Number: 04D2144969
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-26-2026

About PRECIDENT, PLLC

This page provides the complete NPI Profile along with additional information for Precident, Pllc, a provider established in Rogers, Arkansas operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1588176630 assigned on October 2017. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Precident, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's former legal business name is Integrative Dental Specialists Pllc. The authorized official of this NPI record is Dr. Scotty L Bolding D.d.s. (Owner)

NPI
1588176630
Provider Legal Name
PRECIDENT, PLLC
Other Organization Name
INTEGRATIVE DENTAL SPECIALISTS PLLC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
3333 S PINNACLE HILLS PKWY STE 140 ROGERS, AR 72758
Location Phone
(479) 755-3000
Location Fax
(479) 616-1914
Mailing Address
PO BOX 8549 FAYETTEVILLE, AR 72703
Mailing Phone
(479) 755-3000
Mailing Fax
(479) 616-1914
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-30-2017
Last Update Date
10-11-2022
Code Navigator

A dentist like Precident, Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223S0112XDental Providers

Dentist
Oral and Maxillofacial Surgery

3025 (AR)
2204E00000XAllopathic & Osteopathic Physicians

Oral & Maxillofacial Surgery

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SCOTTY L BOLDING D.D.S.

Authorized Official Title
OWNER
Authorized Official Phone
(479) 957-4611

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
04D2144969
Facility Type
Physician Office
Certificate Effective Date
February 27, 2024
Certificate Expiration Date
February 26, 2026
Laboratory Director
DR. SCOTTY L. BOLDING
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Precident, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1588176630, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 1 → 2 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 6 + 8 + 2 + 7 + 1 + 2 + 6 + 6 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1588176630.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (Prosthodontics)
3333 S PINNACLE HILLS PKWY STE 140
ROGERS, AR 72758
Dentist (Oral and Maxillofacial Surgery)
3333 S PINNACLE HILLS PKWY STE 140
ROGERS, AR 72758

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588176630, enumerated as an "organization" on October 30, 2017.

The provider is located at 3333 S PINNACLE HILLS PKWY STE 140 ROGERS, AR 72758 and the phone number is (479) 755-3000.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.