1. Home
  2. Directory
  3. Arkansas
  4. Fayetteville
  5. Dentist
  6. NPI Profile

OWL CREEK SCHOOL BASED HEALTH CENTER DENTAL
NPI 1669741625
Dentist - Pediatric Dentistry in Fayetteville, AR

Active since December 21, 2011
375 N RUPPLE RD, FAYETTEVILLE, AR 72704(479) 751-7417(479) 751-4898 Get Directions Write a Review

NPPES record last updated: December 21, 2011. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Owl Creek School Based Health Center Dental NPPES

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

OWL CREEK SCHOOL BASED HEALTH CENTER DENTAL (NPI 1669741625) is a healthcare organization registered as a pediatric dentistry in Fayetteville, Arkansas and active in the NPI registry since December 2011. The organization lists Kathy Grisham, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1669741625
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameST FRANCIS HOUSE NWA, INC
Location Address375 N RUPPLE RDFayetteville, AR 72704-6110
Mailing Address614 E Emma Ave, Suite 300Springdale, AR 72764-4634 · (479) 751-7417 · Fax (479) 751-4898
Phone(479) 751-7417
Fax(479) 751-4898
Organization SubpartNo
Authorized OfficialKathy GrishamExecutive Director · (479) 751-7417
Enumeration DateDecember 21, 2011
✔ NPI 1669741625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
375 N RUPPLE RD, Fayetteville, AR 72704
Open in Google Maps ↗

Other Names 1

Doing Business AsOwl Creek School Based Health Center Dental

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 2

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

DONNA JANE LONG APRN, FNP-BC
Nurse Practitioner (Family)
375 N RUPPLE RD
FAYETTEVILLE, AR 72704
Washington County (479) 718-0200
ST FRANCIS HOUSE NWA, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
375 N RUPPLE RD
FAYETTEVILLE, AR 72704
Washington County (479) 718-0200

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 St Francis House Nwa, Inc's NPI number?

The NPI number for St Francis House Nwa, Inc is 1669741625. It was assigned to this organization in the NPPES registry on December 21, 2011. The provider is doing business as Owl Creek School Based Health Center Dental.

Where is St Francis House Nwa, Inc located?

St Francis House Nwa, Inc is located at 375 N Rupple Rd, Fayetteville, AR 72704. The listed phone number is (479) 751-7417.

What is St Francis House Nwa, Inc'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 St Francis House Nwa, Inc was last updated on December 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.