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Mammoth Spring Dental Clinic, LLC

Dentist in Mammoth Spring, AR · enumerated 2010 · authorized official Michael Kersey, Member.

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

National Provider Identifier

1023349651

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Registry record

Entity type Organization (Type 2)
Legal business name Mammoth Spring Dental Clinic, LLC
Practice address 180 Main Street, Mammoth Spring, AR, 72554
Phone (870) 625-3262
Fax (870) 625-3673
Enumeration date Jan 21, 2010
Last updated in NPPES Jan 21, 2010

Taxonomy & classification

122300000X Dentist Dental Providers · License 2661 (AR) Primary

Authorized official

Name Michael Kersey
Title Member
Phone (870) 625-3262

Other identifiers

Identifier Type State Issuer
402069306 Medicaid MO -
889-284 Other AR UNITED CONCORDIA
56593 Other AR BLUE CROSS BLUE SHIELD
102276608 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

Who is the authorized official for Mammoth Spring Dental Clinic, LLC?
NPPES lists Michael Kersey (Member) as the authorized official for this organization.
What is the NPI number for Mammoth Spring Dental Clinic, LLC?
The NPI for Mammoth Spring Dental Clinic, LLC is 1023349651, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-01-21.