MCQUEEN DENTAL PLLC NPI 1497245997

NPI Information

  • NPI: 1497245997
  • Provider Name: MCQUEEN DENTAL PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: BOLD DENTAL
  • Address: 640 N GARLAND AVE
    FAYETTEVILLE, AR
    ZIP 72701
  • Phone: (479) 521-2653

Map and Directions

Get Directions

NPI Details

MCQUEEN DENTAL PLLC is a dental clinic center in Fayetteville, AR. MCQUEEN DENTAL PLLC NPI is 1497245997. The provider is registered as an organization entity type.
The provider Is Doing Business As Bold Dental.

The provider's business location address is:

640 N GARLAND AVE
FAYETTEVILLE, AR
ZIP 72701-116
Phone: (479) 521-2653

The provider's authorized official is Van Michael Mcqueen .
The authorized official title is Owner and has the following contact phone number (870) 926-0471.

The enumeration date for this NPI number is 5/10/2018 and was last updated on 5/10/2018.

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/CenterDental4178ARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11518496215OTHERARKANSASINDIVIDUAL NPI

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI