Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

17 Eagle Vilonia Professional LLC

Organization General Practice Dentistry · NPI 1508756073

17 Eagle Vilonia Professional LLC is a General Practice Dentistry in Vilonia, Arkansas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17 Eagle Park Dr
Vilonia, AR 72173-9050
Phone: (501) 796-3903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1508756073
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Forsyth — Payor Relations · (501) 796-3903
Other names Lane Family Dentistry
NPI enumeratedJuly 7, 2025
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025
Mailing address17 Eagle Park Dr, Vilonia, AR 72173-9050

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