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

Southern Dental Group, PLLC

Organization Dentist · NPI 1134597206

Southern Dental Group, PLLC provides Dentist services in Wynne, Arkansas. Licensed in Arkansas. Registered with an NPI since 2015.

Licensed in
AR
In the registry since
2015
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

2100 Killough Rd N
Wynne, AR 72396-1009 Not confirmed with CMS for 11 years — call before visiting
Phone: (870) 243-4406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 3930 (AR)

Record details

NPI number1134597206
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Little — Owner · (870) 243-4406
NPI enumeratedSeptember 8, 2015
Last updated in NPPESSeptember 8, 2015
Mailing addressPo Box 17151, Jonesboro, AR 72403-6720

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