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CONWAY PEDIATRIC DENTAL GROUP
NPI 1619960440
Dentist - Pediatric Dentistry in Conway, AR

Active since August 26, 2005
2700 ALLYSON LANE, CONWAY, AR 72034(501) 730-0375(501) 730-0335 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Conway Pediatric Dental Group NPPES

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

CONWAY PEDIATRIC DENTAL GROUP (NPI 1619960440) is a healthcare organization registered as a pediatric dentistry in Conway, Arkansas and active in the NPI registry since August 2005. The organization lists Gerald W Friend, Owner, as its authorized official.

NPPES Registry Identity

NPI1619960440
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameG FRIEND DDS MS & M WILSON DDS MS PA
Location Address2700 ALLYSON LANEConway, AR 72034
Mailing AddressPo Box 11020Conway, AR 72034-0018 · (501) 730-0375 · Fax (501) 730-0335
Phone(501) 730-0375
Fax(501) 730-0335
Organization SubpartNo
Authorized OfficialGerald W FriendOwner · (501) 730-0375
Enumeration DateAugust 26, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619960440 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 · 3475✔ Licensed in AR · 2793✔ Licensed in AR · 2817
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.
2700 ALLYSON LANE, Conway, AR 72034
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Other Names 1

Doing Business AsConway Pediatric Dental Group

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 3

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

PDG DENTAL GROUP PLLC
Dentist (Pediatric Dentistry)
2700 ALLYSON LANE
CONWAY, AR 72034
Faulkner County (501) 730-0375
DR. JASON SCOTT HAVARD DDS
Dentist (Pediatric Dentistry)
2700 ALLYSON LANE
CONWAY, AR 72034
Faulkner County (501) 730-0375
DR. GERALD WILLIAM FRIEND DDS MS
Dentist (Pediatric Dentistry)
2700 ALLYSON LANE
CONWAY, AR 72034
Faulkner County (501) 730-0375

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 1619960440. It was assigned to this organization in the NPPES registry on August 26, 2005. The provider is doing business as Conway 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 2700 Allyson Lane, Conway, AR 72034. The listed phone number is (501) 730-0375.

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.