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DR. SCOTTY L BOLDING DDS NPI 1013064310


NPI Information

NPI: 1013064310
Provider Name: DR. SCOTTY L BOLDING, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
3333 S PINNACLE HILLS PKWY STE 140
ROGERS, AR
ZIP 72758
Phone: (479) 755-3000
Get Directions

DR. Scotty L Bolding, DDS is an oral and maxillofacial surgery dentist in Rogers, AR. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Scotty L Bolding, DDS NPI is 1013064310. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3333 S PINNACLE HILLS PKWY STE 140
ROGERS, AR
ZIP 72758-953
Phone: (479) 755-3000
Fax: (479) 616-1914

The NPI 1013064310 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/5/2007 and was last updated on 5/12/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery22D102335600NEW JERSEYNo
21223S0112XDentistOral and Maxillofacial Surgery16037TEXASNo
31223S0112XDentistOral and Maxillofacial SurgeryDN22477FLORIDANo
4204E00000XOral & Maxillofacial Surgery22D102335600NEW JERSEYNo
5204E00000XOral & Maxillofacial Surgery2001031902MISSOURINo
6204E00000XOral & Maxillofacial Surgery3025ARKANSASNo
7204E00000XOral & Maxillofacial SurgeryDN22477FLORIDANo
8204E00000XOral & Maxillofacial Surgery16037TEXASNo
91223S0112XDentistOral and Maxillofacial Surgery3025ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.