Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Prairie Grove Dental Center PLLC

Organization General Practice Dentistry · NPI 1508454612

Prairie Grove Dental Center PLLC provides General Practice Dentistry in Prairie Grove, Arkansas. Registered with an NPI since 2021.

In the registry since
2021
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

1121 E Heritage Pkwy
Prairie Grove, AR 72753-6013
Phone: (479) 244-2052
Fax: (479) 846-1940
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1508454612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Clark — Dentist-Owner · (479) 244-2052
NPI enumeratedJanuary 5, 2021
Last updated in NPPESJanuary 5, 2021
Certification dateJanuary 5, 2021
Mailing address1121 E Heritage Pkwy, Prairie Grove, AR 72753-6013

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