LEAP KIDS DENTAL- JONESBORO
NPI 1861937518
Dentist - Pediatric Dentistry in Jonesboro, AR

Active since January 04, 2017
1150 E MATTHEWS AVE, STE 102, JONESBORO, AR 72401(870) 931-5437 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Leap Kids Dental- Jonesboro NPPES

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

LEAP KIDS DENTAL- JONESBORO (NPI 1861937518) is a healthcare organization registered as a pediatric dentistry in Jonesboro, Arkansas and active in the NPI registry since January 2017. The organization lists Mark Dake, Owner, as its authorized official.

NPPES Registry Identity

NPI1861937518
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameAXPM JONESBORO PEDO, PLLC
Location Address1150 E MATTHEWS AVE, STE 102Jonesboro, AR 72401-4346
Mailing AddressPo Box 3450Little Rock, AR 72203-3450 · (501) 781-2777
Organization SubpartNo
Authorized OfficialMark DakeOwner · (501) 781-2777
Enumeration DateJanuary 4, 2017
NPI 1861937518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

1150 E MATTHEWS AVE, Jonesboro, AR 72401

Other Names 1

Doing Business AsLeap Kids Dental- Jonesboro

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Pediatrics
1150 E MATTHEWS AVE, SUITE 101
JONESBORO, AR 72401
Plastic Surgery
1150 E MATTHEWS AVE, STE 201
JONESBORO, AR 72401
Nurse Practitioner (Pediatrics)
1150 E MATTHEWS AVE, STE 101
JONESBORO, AR 72401
Pediatrics
1150 E MATTHEWS AVE, STE 101
JONESBORO, AR 72401
Urology
1150 E MATTHEWS AVE, SUITE 203
JONESBORO, AR 72401
Nurse Practitioner (Psychiatric/Mental Health)
1150 E MATTHEWS AVE
JONESBORO, AR 72401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861937518, enumerated as an "organization" on January 04, 2017.

The provider is located at 1150 E MATTHEWS AVE STE 102 JONESBORO, AR 72401 and the phone number is (870) 931-5437.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.