LYON COLLEGE SCHOOL OF DENTAL MEDICINE NPI 1093681132

NPI Information

  • NPI: 1093681132
  • Provider Name: LYON COLLEGE SCHOOL OF DENTAL MEDICINE
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 5 ALLIED DRIVE
    LITTLE ROCK, AR
    ZIP 72202
  • Phone: (501) 920-9669

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NPI Details

LYON COLLEGE SCHOOL OF DENTAL MEDICINE is a general practice dentist in Little Rock, AR. The provider is 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. LYON COLLEGE SCHOOL OF DENTAL MEDICINE NPI is 1093681132. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5 ALLIED DRIVE
LITTLE ROCK, AR
ZIP 72202
Phone: (501) 920-9669

The provider's authorized official is Burke Soffe .
The authorized official title is Dean and has the following contact phone number (702) 595-8260.

The enumeration date for this NPI number is 10/15/2025 and was last updated on 10/15/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodonticsNo
21223P0106XDentistOral and Maxillofacial PathologyNo
31223P0221XDentistPediatric DentistryNo
41223P0300XDentistPeriodonticsNo
51223P0700XDentistProsthodonticsNo
61223S0112XDentistOral and Maxillofacial SurgeryNo
71223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
81223G0001XDentistGeneral PracticeYes

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: 11/21/2025

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