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BOLD DENTAL FORT SMITH WEST
NPI 1669841946
Dentist - General Practice in Fort Smith, AR

Active since September 17, 2015
4208 JENNY LIND RD, FORT SMITH, AR 72901(479) 782-3400 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bold Dental Fort Smith West NPPES

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

BOLD DENTAL FORT SMITH WEST (NPI 1669841946) is a healthcare organization registered as a general practice in Fort Smith, Arkansas and active in the NPI registry since September 2015. The organization lists Wendy Peduto, Transition Manager, as its authorized official.

NPPES Registry Identity

NPI1669841946
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOLD DENTAL FORT SMITH WEST
Location Address4208 JENNY LIND RDFort Smith, AR 72901-7660
Mailing Address4208 Jenny Lind RdFort Smith, AR 72901-7660 · (479) 782-3400
Phone(479) 782-3400
Organization SubpartYesParent: Bold Dental Partners, Pllc
Authorized OfficialWendy PedutoTransition Manager · (501) 436-0518
Enumeration DateSeptember 17, 2015
Last NPPES UpdateJuly 21, 2022
✔ NPI 1669841946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4208 JENNY LIND RD, Fort Smith, AR 72901
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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.

SOUTHERN DENTAL OF FORT SMITH PLLC
Dentist (General Practice)
4208 JENNY LIND RD
FORT SMITH, AR 72901
Sebastian County (479) 782-3400
DR. J STEPHEN WILSON D.D.S.
Dentist (General Practice)
4208 JENNY LIND RD
FORT SMITH, AR 72901
Sebastian County (479) 782-3400

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 Bold Dental Fort Smith West's NPI number?

The NPI number for Bold Dental Fort Smith West is 1669841946. It was assigned to this organization in the NPPES registry on September 17, 2015.

Where is Bold Dental Fort Smith West located?

Bold Dental Fort Smith West is located at 4208 Jenny Lind Rd, Fort Smith, AR 72901. The listed phone number is (479) 782-3400.

What is Bold Dental Fort Smith West's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bold Dental Fort Smith West was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.