Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HARRISON JAKE WADDELL, DMD
Active Sole ProprietorGeneral Dentistry · ROGERS, AR
Registration Details
- NPI Number
- 1255171013
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2024 (1.9133590643328 yrs)
- Last Updated
- May 29, 2024
- License
-
4745 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
805 N 20TH PL STE 2ROGERS, AR, 727563571Browse AR providers · Browse ZIP 72756
- Phone
- 4799860905
- Fax
- 4799860905
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in ROGERS, AR
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT JOE MATLOCK | DDS | 1487610093 |
| DR. NICHOLAS CHRIST YIANNIOS | D.D.S. | 1205857570 |
| DR. DANIEL A LEIS | D.D.S. | 1902828551 |
| DR. JEFFERY SCOTT WISENER | D.D.S. | 1285642819 |
| DR. DARRON ROSS COOPER | D.D.S. | 1457369092 |
| DR. DANE L HOLLIS | D.D.S. | 1023121712 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.