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

Individual provider General Practice Dentistry · NPI 1356742498

Dr. Jason Thibodeaux, DMD is a General Practice Dentistry in Rogers, Arkansas. Practices as a sole proprietor and works from 2 locations. Licensed in Arkansas and Missouri.

Licensed in
AR, MO
In the registry since
2014
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

508 S 52nd St
Rogers, AR 72758-8600
Phone: (479) 845-1191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1007 E 32nd St Ste 1, Joplin, MO 64804-2806 — (417) 374-2639

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2025034587 (MO)
General Practice Dentistry Taxonomy 1223G0001X · Licence AR4413 (AR)

Record details

NPI number1356742498
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 9, 2014
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address800 Charity St, Abbeville, LA 70510-5239

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