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Prairie Grove Dental Center Pllc

General Practice Dentistry in Prairie Grove, AR · enumerated 2021 · authorized official Alan Clark, Dentist-Owner.

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

National Provider Identifier

1508454612

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Registry record

Entity type Organization (Type 2)
Legal business name Prairie Grove Dental Center Pllc
Practice address 1121 E Heritage Pkwy, Prairie Grove, AR, 72753
Fax (479) 846-1940
Enumeration date Jan 5, 2021
Last updated in NPPES Jan 5, 2021

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Alan Clark
Title Dentist-Owner

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 Prairie Grove Dental Center Pllc?
The NPI for Prairie Grove Dental Center Pllc is 1508454612, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Prairie Grove Dental Center Pllc?
NPPES lists Alan Clark (Dentist-Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-01-05.