OrganizationActive
Mammoth Spring Dental Clinic, LLC
NPI 1023349651 · Dentist · Mammoth Spring, AR
Mammoth Spring Dental Clinic, LLC is a Dentist organization in Mammoth Spring, AR (NPI 1023349651).
Provider details
- NPI number
- 1023349651
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Michael Kersey, Member(870) 625-3262
- License
- 2661 (AR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
180 Main Street
Mammoth Spring, AR 72554
Phone: (870) 625-3262
Fax: (870) 625-3673
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 128
Mammoth Spring, AR 72554
Registry dates
- Enumerated
- 2010-01-21
- Last updated
- 2010-01-21
Frequently asked questions
- What is Mammoth Spring Dental Clinic, LLC's NPI number?
- Mammoth Spring Dental Clinic, LLC's National Provider Identifier (NPI) is 1023349651, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mammoth Spring Dental Clinic, LLC?
- Mammoth Spring Dental Clinic, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Mammoth Spring Dental Clinic, LLC located?
- Mammoth Spring Dental Clinic, LLC's practice location on file with NPPES is 180 Main Street, Mammoth Spring, AR 72554.
- What is Mammoth Spring Dental Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mammoth Spring Dental Clinic, LLC is (870) 625-3262.
- Who is the authorized official for Mammoth Spring Dental Clinic, LLC?
- The authorized official listed on Mammoth Spring Dental Clinic, LLC's NPPES record is Michael Kersey, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mammoth Spring Dental Clinic, LLC's NPI active?
- Yes — Mammoth Spring Dental Clinic, LLC's NPI (1023349651) is active in the NPPES registry as of the last update on 2010-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.