COREY INBODEN DDS PLLC NPI 1114638640

NPI Information

  • NPI: 1114638640
  • Provider Name: COREY INBODEN DDS, PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 179 N CHURCH AVE
    FAYETTEVILLE, AR
    ZIP 72701
  • Phone: (479) 442-6512

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NPI Details

COREY INBODEN DDS, PLLC is a dental clinic center in Fayetteville, AR. COREY INBODEN DDS, PLLC NPI is 1114638640. The provider is registered as an organization entity type.

The provider's business location address is:

179 N CHURCH AVE
FAYETTEVILLE, AR
ZIP 72701-265
Phone: (479) 442-6512

The provider's authorized official is William Corey Inboden .
The authorized official title is President and has the following contact phone number (870) 219-4046.

The enumeration date for this NPI number is 12/6/2022 and was last updated on 12/6/2022.

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
1261QD0000XClinic/CenterDentalYes

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: 3/30/2025

NPI Synchronization or Removal

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