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

B.w. Petkovich, DDS, PA

Organization General Practice Dentistry · NPI 1417268426

B.w. Petkovich, DDS, PA is a General Practice Dentistry in Mountain Home, Arkansas. Licensed in Arkansas. Registered with an NPI since 2010.

Licensed in
AR
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

500 Hospital Dr
Mountain Home, AR 72653-2913
Phone: (870) 425-9757
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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 · Licence 2371 (AR)

Record details

NPI number1417268426
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bernard Petkovich — Dentist · (870) 425-9757
NPI enumeratedJune 24, 2010
Last updated in NPPESJune 24, 2010
Mailing address500 Hospital Dr, Mountain Home, AR 72653-2913

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