OrganizationActive
Pea Ridge Family Dentistry, PLLC
NPI 1407742828 · Dental Clinic/Center · Pea Ridge, AR
Pea Ridge Family Dentistry, PLLC is a Dental Clinic/Center organization in Pea Ridge, AR (NPI 1407742828).
Provider details
- NPI number
- 1407742828
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Benjamin Bowman, Owner(405) 237-9289
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
459 Slack Street
Pea Ridge, AR 72751
Phone: (405) 930-4100
Street-level locationGet directions
Mailing address
851 W I 35 Frontage Rd Ste 350
Edmond, OK 73034-7472
Other names (DBA / former)
- Doing business as
- Pea Ridge Family Dentistry
Registry dates
- Enumerated
- 2025-06-13
- Last updated
- 2025-06-13
- Certified
- 2025-05-28
Frequently asked questions
- What is Pea Ridge Family Dentistry, PLLC's NPI number?
- Pea Ridge Family Dentistry, PLLC's National Provider Identifier (NPI) is 1407742828, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pea Ridge Family Dentistry, PLLC?
- Pea Ridge Family Dentistry, PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pea Ridge Family Dentistry, PLLC located?
- Pea Ridge Family Dentistry, PLLC's practice location on file with NPPES is 459 Slack Street, Pea Ridge, AR 72751.
- What is Pea Ridge Family Dentistry, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pea Ridge Family Dentistry, PLLC is (405) 930-4100.
- Who is the authorized official for Pea Ridge Family Dentistry, PLLC?
- The authorized official listed on Pea Ridge Family Dentistry, PLLC's NPPES record is Benjamin Bowman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pea Ridge Family Dentistry, PLLC's NPI active?
- Yes — Pea Ridge Family Dentistry, PLLC's NPI (1407742828) is active in the NPPES registry as of the last update on 2025-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.