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BETHEL BURRIS OLIVER PLLC NPI 1801237326


NPI Information

NPI: 1801237326
Provider Name: BETHEL BURRIS OLIVER PLLC

Doing Business As: ARKANSAS DENTISTRY AND BRACES

Classification: Dentist - 1223X0400X
Entity Type: Organization

Specialization: Orthodontics and Dentofacial Orthopedics

CLIA Number: 04D2079823

Address:
4941 N WASHINGTON ST
FORREST CITY, AR
ZIP 72335
Phone: (870) 972-8294
Get Directions

BETHEL BURRIS OLIVER PLLC is an orthodontics and dentofacial orthopedics dentist in Forrest City, AR. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. BETHEL BURRIS OLIVER PLLC NPI is 1801237326. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Arkansas Dentistry And Braces.

The provider's business location address is:

4941 N WASHINGTON ST
FORREST CITY, AR
ZIP 72335-723
Phone: (870) 972-8294
Fax: (870) 630-6405

The provider's authorized official is Benjamin G Burris .
The authorized official title is Owner and has the following contact phone number (870) 972-8294.

The CLIA number assigned to this NPI record is 04D2079823 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2013 and was last updated on 3/4/2015.


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 SurgeryNo
21223P0221XDentistPediatric DentistryNo
31223G0001XDentistGeneral PracticeNo
41223X0400XDentistOrthodontics and Dentofacial OrthopedicsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1190787631MEDICAIDARKANSAS

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: 11/14/2023

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.