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Jefferson Comprehensive Care System Inc

Dentist in Pine Bluff, AR · enumerated 2008 · authorized official Larnell Davis, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023277746

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Registry record

Entity type Organization (Type 2)
Legal business name Jefferson Comprehensive Care System Inc
Other name <Unavail>
Practice address 1101 Tennessee St, Pine Bluff, AR, 71601
Phone (870) 543-2341
Fax (870) 535-4716
Enumeration date Jun 6, 2008
Last updated in NPPES Jun 6, 2008

Taxonomy & classification

122300000X Dentist Dental Providers Primary

Authorized official

Name Larnell Davis
Title Executive Director
Phone (870) 543-2380

Other identifiers

Identifier Type State Issuer
102953631 Medicaid AR -

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.

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Frequently asked questions

Where is Jefferson Comprehensive Care System Inc located?
The practice location on file with NPPES is in Pine Bluff, AR.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-06-06. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-06.