OrganizationActive
17 Eagle Vilonia Professional LLC
NPI 1508756073 · General Practice Dentistry · Vilonia, AR
17 Eagle Vilonia Professional LLC is a General Practice Dentistry organization in Vilonia, AR (NPI 1508756073).
Provider details
- NPI number
- 1508756073
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ashley Forsyth, Payor Relations(501) 796-3903
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(55/100 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
17 Eagle Park Dr
Vilonia, AR 72173-9050
Phone: (501) 796-3903
Street-level locationGet directions
Mailing address
17 Eagle Park Dr
Vilonia, AR 72173-9050
Other names (DBA / former)
- Doing business as
- Lane Family Dentistry
Registry dates
- Enumerated
- 2025-07-07
- Last updated
- 2025-07-07
- Certified
- 2025-07-07
Frequently asked questions
- What is 17 Eagle Vilonia Professional LLC's NPI number?
- 17 Eagle Vilonia Professional LLC's National Provider Identifier (NPI) is 1508756073, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 17 Eagle Vilonia Professional LLC?
- 17 Eagle Vilonia Professional LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is 17 Eagle Vilonia Professional LLC located?
- 17 Eagle Vilonia Professional LLC's practice location on file with NPPES is 17 Eagle Park Dr, Vilonia, AR 72173-9050.
- What is 17 Eagle Vilonia Professional LLC's phone number?
- The practice phone number listed in the NPPES registry for 17 Eagle Vilonia Professional LLC is (501) 796-3903.
- Who is the authorized official for 17 Eagle Vilonia Professional LLC?
- The authorized official listed on 17 Eagle Vilonia Professional LLC's NPPES record is Ashley Forsyth, Payor Relations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 17 Eagle Vilonia Professional LLC's NPI active?
- Yes — 17 Eagle Vilonia Professional LLC's NPI (1508756073) is active in the NPPES registry as of the last update on 2025-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.