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RIDGE DENTAL GROUP PLLC
NPI 1972263739
Clinic/Center - Dental in Wynne, AR

Active since December 21, 2021
808 HIGHWAY 64 E, WYNNE, AR 72396(870) 238-2600 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ridge Dental Group Pllc NPPES

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

RIDGE DENTAL GROUP PLLC (NPI 1972263739), doing business as Ridge Dental And Aesthetics, is a healthcare organization registered as a dental in Wynne, Arkansas and active in the NPI registry since December 2021. The organization lists Kelli Ellen Vanhouten- Grubbs, Partner, as its authorized official.

NPPES Registry Identity

NPI1972263739
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameRIDGE DENTAL GROUP PLLC
Location Address808 HIGHWAY 64 EWynne, AR 72396-7414
Mailing Address808 Highway 64 EWynne, AR 72396-7414
Phone(870) 238-2600
Organization SubpartNo
Authorized OfficialKelli Ellen Vanhouten- GrubbsPartner · (870) 238-2600
Enumeration DateDecember 21, 2021
NPPES CertifiedDecember 21, 2021
✔ NPI 1972263739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
808 HIGHWAY 64 E, Wynne, AR 72396
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Other Names 1

Doing Business AsRidge Dental And Aesthetics

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 Ridge Dental Group PLLC's NPI number?

The NPI number for Ridge Dental Group PLLC is 1972263739. It was assigned to this organization in the NPPES registry on December 21, 2021. The provider is doing business as Ridge Dental and Aesthetics.

Where is Ridge Dental Group PLLC located?

Ridge Dental Group PLLC is located at 808 Highway 64 E, Wynne, AR 72396. The listed phone number is (870) 238-2600.

What is Ridge Dental Group PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Ridge Dental Group PLLC was last updated on December 21, 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.