Bold Dental Springdale
Dentist, General Practice in Springdale, AR. Organization (NPI-2).
NPI number1679952022
StatusActive
Last updated in NPPESMay 19, 2015
Details
- NPI
- 1679952022
- Entity type
- Organization (NPI-2)
- Legal business name
- Bold Dental Springdale
- Organization subpart
- Yes
- Enumeration date
- May 19, 2015
- Last updated
- May 19, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3025 | AR | Yes |
Practice location
6815 Isaacs Orchard RdSuite A
Springdale, AR 72762-6324
Phone 479-750-0333
Mailing address
Po Box 1108Fayetteville, AR 72702-1108
Phone 479-439-9192 · Fax 479-725-2395
Authorized official
Scott Bolding
Owner
4795212653
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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