Dr. Clint Dawson Koen, DDS
Dr. Clint Dawson Koen is a Pediatric Dentistry provider (Dentist) practicing in Conway, AR, registered in the NPPES registry with NPI 1629143789 since 2006. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629143789 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Clint Dawson Koen |
| Credential | DDS |
| Sex | Male |
| Practice address | 2700 ALLYSON LN, Conway, AR, 72034 |
| Phone | 5017300375 |
| Fax | 5017300335 |
| Enumeration date | 2006-11-22 |
| Last updated in NPPES | 2014-06-26 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Secondary | 3587 | AR |
| 1223P0221X | Pediatric Dentistry | Primary | 3587 | AR |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Clint Koen, DDS NPI: 1629143789 Taxonomy: 1223P0221X (Pediatric Dentistry) Address: 2700 ALLYSON LN, Conway, AR, 72034
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1467891606 | Stefanie Meek | Individual | Pediatric Dentistry | Conway, AR |
Verify this record
Cross-check NPI 1629143789 against the authoritative CMS record: view Dr. Clint Dawson Koen on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-06-26.