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

Pea Ridge Family Dentistry, PLLC

Organization Dental Clinic/Center · NPI 1407742828

Pea Ridge Family Dentistry, PLLC is a Dental Clinic/Center in Pea Ridge, Arkansas. Registered with an NPI since 2025.

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

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Practice location Address checks out

459 Slack St
Pea Ridge, AR 72751
Phone: (405) 930-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1407742828
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Bowman — Owner · (405) 237-9289
Other names Pea Ridge Family Dentistry
NPI enumeratedJune 13, 2025
Last updated in NPPESJune 13, 2025
Certification dateMay 28, 2025
Mailing address851 W I 35 Frontage Rd Ste 350, Edmond, OK 73034-7472

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