WASHINGTON REGIONA MEDICAL CENTER MOBILE DENTAL CLINIC
NPI 1669877668
Dentist in Fayetteville, AR

Q: What is Washington Regional Medical Center's NPI number?

The NPI number for Washington Regional Medical Center is 1669877668. It was assigned to this organization in the NPPES registry on November 3, 2014. The provider is doing business as Washington Regiona Medical Center Mobile Dental Clinic.

Q: What is Washington Regional Medical Center's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since November 03, 2014

12 E APPLEBY RD, SUITE 102, FAYETTEVILLE, AR 72703(479) 463-4746(479) 463-7864 Get Directions Write a Review

NPPES record last updated: November 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Washington Regiona Medical Center Mobile Dental Clinic NPPES

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

WASHINGTON REGIONA MEDICAL CENTER MOBILE DENTAL CLINIC (NPI 1669877668) is a healthcare organization registered as a dentist in Fayetteville, Arkansas and active in the NPI registry since November 2014. The organization lists William L Bradley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669877668

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameWASHINGTON REGIONAL MEDICAL CENTER

Location Address12 E APPLEBY RD, SUITE 102Fayetteville, AR 72703-3901

Mailing Address12 E Appleby Rd, Suite 102Fayetteville, AR 72703-3901 · (479) 463-4746 · Fax (479) 463-7864

Phone(479) 463-4746

Fax(479) 463-7864

Organization SubpartNo

Authorized OfficialWilliam L BradleyCeo · (469) 463-1000

Enumeration DateNovember 3, 2014

✔ NPI 1669877668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

12 E APPLEBY RD, Fayetteville, AR 72703

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Other Names 1

Doing Business AsWashington Regiona Medical Center Mobile Dental Clinic

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 16

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

EMILY J COOMBS APRN

Nurse Practitioner (Adult Health)

12 E APPLEBY RD, SUITE 101
FAYETTEVILLE, AR 72703

Washington County (479) 463-4444

WASHINGTON REGIONAL MEDICAL SYSTEM

Physical Therapist

12 E APPLEBY RD, SUITE 104
FAYETTEVILLE, AR 72703

Washington County (479) 463-6824

TIFFANY MICHELLE JACKSON APRN, AGNP-C

Nurse Practitioner (Primary Care)

12 E APPLEBY RD, SUITE 101
FAYETTEVILLE, AR 72703

Washington County (479) 463-4444

ANTOINETTE LYNN HARTMAN APN

Nurse Practitioner

12 E APPLEBY RD, STE 101
FAYETTEVILLE, AR 72703

Washington County (479) 463-4444

LAUREN HAYS

Speech-Language Pathologist

12 E APPLEBY RD, SUITE 104
FAYETTEVILLE, AR 72703

Washington County (479) 463-6824

CHELSEA RUSH THOMPSON AGPCNP-BC

Nurse Practitioner (Gerontology)

12 E APPLEBY RD
FAYETTEVILLE, AR 72703

Washington County (479) 463-4444

STEPHEN B GEMMELL PHD

Psychologist

12 E APPLEBY RD, STE 101
FAYETTEVILLE, AR 72703

Washington County (479) 463-4444

RANDY J SHINN MD

Internal Medicine (Geriatric Medicine)

12 E APPLEBY RD, STE 101
FAYETTEVILLE, AR 72703

Washington County (479) 463-4444

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 Washington Regional Medical Center's NPI number?

The NPI number for Washington Regional Medical Center is 1669877668. It was assigned to this organization in the NPPES registry on November 3, 2014. The provider is doing business as Washington Regiona Medical Center Mobile Dental Clinic.

Where is Washington Regional Medical Center located?

Washington Regional Medical Center is located at 12 E Appleby Rd Suite 102, Fayetteville, AR 72703. The listed phone number is (479) 463-4746.

What is Washington Regional Medical Center's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Washington Regional Medical Center was last updated on November 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.