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ST VINCENT HEALTH CLINIC EAST
NPI 1861786774
Dentist in Little Rock, AR

Active since June 08, 2011CLIA 04D0466915 · Waiver
2500 E 6TH ST, LITTLE ROCK, AR 72202(501) 552-4710(501) 376-2084 Get Directions Write a Review

NPPES record last updated: June 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St Vincent Health Clinic East NPPES

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

ST VINCENT HEALTH CLINIC EAST (NPI 1861786774) is a healthcare organization registered as a dentist in Little Rock, Arkansas and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through February 16, 2028 and lists Lavaleria Jane Smith, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1861786774
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameST VINCENT MEDICAL GROUP
Location Address2500 E 6TH STLittle Rock, AR 72202-3008
Mailing Address2500 E 6th StLittle Rock, AR 72202-3008 · (501) 552-4710 · Fax (501) 376-2084
Phone(501) 552-4710
Fax(501) 376-2084
Organization SubpartNo
Authorized OfficialLavaleria Jane SmithClinic Manager · (501) 552-4710
Enumeration DateJune 8, 2011
✔ NPI 1861786774 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.
2500 E 6TH ST, Little Rock, AR 72202
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Other Names 1

Doing Business AsSt Vincent Health Clinic East

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D0466915

St Vincent Health Clinic East · Little Rock, AR
Active · expires Feb 16, 2028
CLIA Number04D0466915
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorDr. Dass Sanjay
Laboratory Phone(501) 552-4710
Laboratory LocationSt Vincent Health Clinic East2500 E 6th Street, Little Rock, AR 72202
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

NANCY KAHN MD
Family Medicine
2500 E 6TH ST
LITTLE ROCK, AR 72202
Pulaski County (501) 552-4710
LARA SANDERS APN
Nurse Practitioner (Adult Health)
2500 E 6TH ST
LITTLE ROCK, AR 72202
Pulaski County (501) 552-4710
DR. LAUREN DAVID D.D.S.
Dentist (General Practice)
2500 E 6TH ST
LITTLE ROCK, AR 72202
Pulaski County (501) 552-4710

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 Vincent Medical Group's NPI number?

The NPI number for St Vincent Medical Group is 1861786774. It was assigned to this organization in the NPPES registry on June 8, 2011. The provider is doing business as St Vincent Health Clinic East.

Where is St Vincent Medical Group located?

St Vincent Medical Group is located at 2500 E 6th St, Little Rock, AR 72202. The listed phone number is (501) 552-4710.

What is St Vincent Medical Group's specialty?

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

Does St Vincent Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0466915) is associated with this NPI, valid through February 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St Vincent Medical Group was last updated on June 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.