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Jefferson Comprehensive Care System, Inc.

General Practice Dentistry in College Station, AR · enumerated 2012 · authorized official Larnell Davis, Executive Director.

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

National Provider Identifier

1073886156

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Registry record

Entity type Organization (Type 2)
Legal business name Jefferson Comprehensive Care System, Inc.
Other name <Unavail>
Practice address 4206 Frazier Pike, College Station, AR, 72053
Phone (501) 490-2440
Fax (501) 490-0156
Enumeration date Feb 20, 2012
Last updated in NPPES Feb 20, 2012

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
56811 Other AR BLUE CROSS BLUE SHIELD

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

What is the NPI number for Jefferson Comprehensive Care System, Inc.?
The NPI for Jefferson Comprehensive Care System, Inc. is 1073886156, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Jefferson Comprehensive Care System, Inc.?
NPPES lists Larnell Davis (Executive Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-02-20.