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

ARKANSAS DENTISTRY AND BRACES
NPI 1700290194
Dentist - Pediatric Dentistry in Jonesboro, AR

Active since June 13, 2014
4803 E JOHNSON AVE, JONESBORO, AR 72401(870) 206-7835(870) 206-7837 Get Directions Write a Review

NPPES record last updated: March 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arkansas Dentistry And Braces NPPES

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

ARKANSAS DENTISTRY AND BRACES (NPI 1700290194) is a healthcare organization registered as a pediatric dentistry in Jonesboro, Arkansas and active in the NPI registry since June 2014. The organization lists Benjamin G Burris, Owner, as its authorized official.

NPPES Registry Identity

NPI1700290194
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBETHEL BURRIS OLIVER PLLC
Location Address4803 E JOHNSON AVEJonesboro, AR 72401-8413
Mailing Address3782 N Front St Ste 1Fayetteville, AR 72703-5906 · (479) 445-6335 · Fax (479) 301-2878
Phone(870) 206-7835
Fax(870) 206-7837
Organization SubpartNo
Authorized OfficialBenjamin G BurrisOwner · (479) 445-6335
Enumeration DateJune 13, 2014
Last NPPES UpdateMarch 4, 2015
✔ NPI 1700290194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
4803 E JOHNSON AVE, Jonesboro, AR 72401
Open in Google Maps ↗

Other Names 1

Doing Business AsArkansas Dentistry And Braces

Other Identifiers 2

Medicaid206261631AR
Other206304680AR · Medicaid Oral Surgery

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

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 Bethel Burris Oliver PLLC's NPI number?

The NPI number for Bethel Burris Oliver PLLC is 1700290194. It was assigned to this organization in the NPPES registry on June 13, 2014. The provider is doing business as Arkansas Dentistry And Braces.

Where is Bethel Burris Oliver PLLC located?

Bethel Burris Oliver PLLC is located at 4803 E Johnson Ave, Jonesboro, AR 72401. The listed phone number is (870) 206-7835.

What is Bethel Burris Oliver PLLC'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 Bethel Burris Oliver PLLC was last updated on March 4, 2015. 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.