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

Russellville Family Dentistry PA

Organization General Practice Dentistry · NPI 1508287251

Russellville Family Dentistry PA provides General Practice Dentistry in Russellville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2013.

Licensed in
AR
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 N Utah Ave
Russellville, AR 72801-2740 Not confirmed with CMS for 12 years — call before visiting
Phone: (479) 968-1706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 3895 (AR)

Record details

NPI number1508287251
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Kitchens — President · (479) 968-1706
NPI enumeratedDecember 25, 2013
Last updated in NPPESDecember 25, 2013
Mailing address104 N Utah Ave, Russellville, AR 72801-2740

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