INTERDISCIPLINARY DENTAL THERAPY, P.A.
NPI 1992042386
Dentist - General Practice in Little Rock, AR

Q: What is Interdisciplinary Dental Therapy, P.A.'s specialty?

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

Active since January 06, 2013

9200 CHICOT RD, LITTLE ROCK, AR 72209(501) 562-3029(501) 568-1823 Get Directions Write a Review

NPPES record last updated: January 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Interdisciplinary Dental Therapy, P.a. NPPES

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

INTERDISCIPLINARY DENTAL THERAPY, P.A. (NPI 1992042386) is a healthcare organization registered as a general practice in Little Rock, Arkansas and active in the NPI registry since January 2013. The organization lists Montgomery Dwight Heathman, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1992042386

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameINTERDISCIPLINARY DENTAL THERAPY, P.A.

Location Address9200 CHICOT RDLittle Rock, AR 72209-6107

Mailing Address9200 Chicot RdLittle Rock, AR 72209-6107 · (501) 562-3029 · Fax (501) 568-1823

Phone(501) 562-3029

Fax(501) 568-1823

Organization SubpartNo

Authorized OfficialMontgomery Dwight HeathmanPresident/ceo · (479) 856-5588

Enumeration DateJanuary 6, 2013

✔ NPI 1992042386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AR · AR3333

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.

9200 CHICOT RD, Little Rock, AR 72209

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Other Identifiers 1

Medicaid161458608AR

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

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 Interdisciplinary Dental Therapy, P.A.'s NPI number?

The NPI number for Interdisciplinary Dental Therapy, P.A. is 1992042386. It was assigned to this organization in the NPPES registry on January 6, 2013.

Where is Interdisciplinary Dental Therapy, P.A. located?

Interdisciplinary Dental Therapy, P.A. is located at 9200 Chicot Rd, Little Rock, AR 72209. The listed phone number is (501) 562-3029.

What is Interdisciplinary Dental Therapy, P.A.'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 Interdisciplinary Dental Therapy, P.A. was last updated on January 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.