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

Gravette Family Dental

Organization Dental Clinic/Center · NPI 1417790502

Gravette Family Dental is a Dental Clinic/Center in Gravette, Arkansas. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

601 1st Ave SW
Gravette, AR 72736
Phone: (405) 930-4100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1417790502
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Bowman — Ceo · (405) 326-8004
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 7, 2024
Mailing address851 W I 35 Frontage Rd Ste 350, Edmond, OK 73034-7461

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