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OTTER CREEK DENTAL , PLLC
NPI 1962172940
Dentist - General Practice in Little Rock, AR

Active since September 20, 2021
13500 OTTER CREEK PKWY, LITTLE ROCK, AR 72210(501) 455-1766 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Otter Creek Dental , Pllc NPPES

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

OTTER CREEK DENTAL , PLLC (NPI 1962172940), doing business as Otter Creek Family Dentistry, is a healthcare organization registered as a general practice in Little Rock, Arkansas and active in the NPI registry since September 2021. The organization lists Faith Gaskins, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1962172940
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOTTER CREEK DENTAL , PLLC
Location Address13500 OTTER CREEK PKWYLittle Rock, AR 72210-5792
Mailing Address13500 Otter Creek PkwyLittle Rock, AR 72210-5792 · (501) 455-1766
Phone(501) 455-1766
Organization SubpartNo
Authorized OfficialFaith GaskinsDirector Of Credentialing · (972) 869-3789
Enumeration DateSeptember 20, 2021
NPPES CertifiedSeptember 20, 2021
✔ NPI 1962172940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A 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.
13500 OTTER CREEK PKWY, Little Rock, AR 72210
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Other Names 1

Doing Business AsOtter Creek Family Dentistry

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 2

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

MRS. ERICA JANE PARSONS DDS
Dentist (General Practice)
13500 OTTER CREEK PKWY
LITTLE ROCK, AR 72210
Pulaski County (501) 900-8119
DR. JOHN ROBERT BASS D.D.S.
Dentist
13500 OTTER CREEK PKWY
LITTLE ROCK, AR 72210
Pulaski County (501) 455-1766

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 Otter Creek Dental , PLLC's NPI number?

The NPI number for Otter Creek Dental , PLLC is 1962172940. It was assigned to this organization in the NPPES registry on September 20, 2021. The provider is doing business as Otter Creek Family Dentistry.

Where is Otter Creek Dental , PLLC located?

Otter Creek Dental , PLLC is located at 13500 Otter Creek Pkwy, Little Rock, AR 72210. The listed phone number is (501) 455-1766.

What is Otter Creek Dental , PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Otter Creek Dental , PLLC was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.