NPI
Gravette Family Dental
NPI 1417790502
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2024-06-17
- Last updated
- 2024-06-17
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 601 1st Ave SW
- City
- Gravette AR
- Postal code
- 72736
- Phone
- (405) 930-4100
Organization contact
- Name
- Benjamin Bowman
- Title
- CEO
- Phone
- (405) 326-8004
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Gravette, AR. 76 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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