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

Harrison Jake Waddell, DMD

Individual provider General Practice Dentistry · NPI 1255171013

Harrison Jake Waddell, DMD is a General Practice Dentistry in Rogers, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

805 N 20th Pl Ste 2
Rogers, AR 72756-3571
Phone: (479) 986-0905
Fax: (479) 986-0905
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4745 (AR)

Record details

NPI number1255171013
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 29, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

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