FAMILY DENTAL ASSOCIATES (RANDALL S HESTIR DDS INC) NPI 1770796401

Dentist (General Practice) in Dewitt, AR

NPI 1770796401 Organization Dentist General Practice

About FAMILY DENTAL ASSOCIATES (RANDALL S HESTIR DDS INC)

Family Dental Associates (randall S Hestir Dds Inc) is a provider established in Dewitt, Arkansas specializing in dentist (general practice) . The NPI number of Family Dental Associates (randall S Hestir Dds Inc) is 1770796401 and was assigned on May 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 2266 (MO). The provider is registered as an organization and their NPI record was last updated 12 years ago. Family Dental Associates (randall S Hestir Dds Inc) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Family Dental Associates. The authorized official of this NPI record is Randall S Hestir Dds (Owner)

A dentist like Family Dental Associates is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1770796401

Provider NameFAMILY DENTAL ASSOCIATES (RANDALL S HESTIR DDS INC)
Provider Location Address1703 S WHITEHEAD DR DEWITT, AR 72042
Provider Mailing AddressPO DRAWER 512 1703 S WHITEHEAD DR DEWITT, AR 72042
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameFAMILY DENTAL ASSOCIATES
Other Name TypeOther Name (5)
Enumeration Date05-08-2007
Last Update Date06-29-2009


Primary Taxonomy

Taxonomy Code1223G0001X
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
License No.2266
License StateMO
Taxonomy DescriptionA 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.

Business Address

FAMILY DENTAL ASSOCIATES
1703 S WHITEHEAD DR
DEWITT, AR
ZIP 72042
Phone: (870) 946-2013
Fax: (870) 946-1281

Get Directions


Mailing Address

FAMILY DENTAL ASSOCIATES
PO DRAWER 512
1703 S WHITEHEAD DR
DEWITT, AR
ZIP 72042
Phone: (870) 946-2013
Fax: (870) 946-1281



Authorized Official

Authorized Official Name RANDALL S HESTIR DDS
Authorized Official TitleOWNER
Authorized Official Phone(870) 946-2013

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
100922608MEDICAID (05)AR

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366432551VAN M DUNN
Organization
Optometrist1703 S WHITEHEAD DR
DE WITT, AR 72042
(870) 946-1716
1780754036DR. RANDALL S HESTIR DDS
Individual
Dentist (General Practice)1703 S WHITEHEAD DR
DEWITT, AR 72042
(870) 946-2013
1013076397DR. JAMES DOUGLAS ALLEN DDS
Individual
Dentist (General Practice)1703 S WHITEHEAD DR
DEWITT, AR 72042
(870) 946-2013
1205276391DR. JOHN RICHARD HOLT HESTIR DDS
Individual
Dentist1703 S WHITEHEAD DR P O DRAWER 512
DE WITT, AR 72042
(870) 946-2013
1295932820BAPTIST HEALTH HOSPITALS
Organization
Clinic/Center (Rural Health)1703 S WHITEHEAD DR
DE WITT, AR 72042
(870) 946-0300

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.