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DR. CLINT DAWSON KOEN DDS
NPI 1629143789
Dentist - Pediatric Dentistry in Conway, AR

Active since November 22, 2006
2700 ALLYSON LN, CONWAY, AR 72034(501) 730-0375(501) 730-0335 Get Directions Write a Review

NPPES record last updated: June 26, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Clint Dawson Koen Dds NPPES

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

DR. CLINT DAWSON KOEN DDS (NPI 1629143789) is an individual pediatric dentistry provider in Conway, Arkansas, licensed in Arkansas (3587) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1629143789
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. CLINT DAWSON KOENCredential: DDS
Location Address2700 ALLYSON LNConway, AR 72034-6281
Mailing AddressPo Box 11020Conway, AR 72034-0018 · (501) 730-0375 · Fax (501) 730-0335
Phone(501) 730-0375
Fax(501) 730-0335
Sole ProprietorNo
Enumeration DateNovember 22, 2006
Last NPPES UpdateJune 26, 2014
✔ NPI 1629143789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in AR · 3587
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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 3587 (AR)
2700 ALLYSON LN, Conway, AR 72034
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana 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.

STEFANIE GARDNER MEEK D.D.S.
Dentist (Pediatric Dentistry)
2700 ALLYSON LN
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 Clint Koen's NPI number?

The NPI number for Clint Koen is 1629143789. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Clint Koen located?

Clint Koen practices at 2700 Allyson Ln, Conway, AR 72034. The listed phone number is (501) 730-0375.

What is Clint Koen's specialty?

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

What insurance does Clint Koen accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Clint Koen 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 Clint Koen was last updated on June 26, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.