IndividualActive
Clint Koen, DDS
NPI 1629143789 · Pediatric Dentistry · Conway, AR
Clint Koen, DDS is a Pediatric Dentistry provider in Conway, AR (NPI 1629143789).
Provider details
- NPI number
- 1629143789
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 3587 (AR)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2700 Allyson Ln
Conway, AR 72034-6281
Phone: (501) 730-0375
Fax: (501) 730-0335
Street-level locationGet directions
Mailing address
Po Box 11020
Conway, AR 72034-0018
Registry dates
- Enumerated
- 2006-11-22
- Last updated
- 2014-06-26
Frequently asked questions
- What is Clint Koen's NPI number?
- Clint Koen's National Provider Identifier (NPI) is 1629143789, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clint Koen's specialty?
- Clint Koen is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Clint Koen located?
- Clint Koen's practice location on file with NPPES is 2700 Allyson Ln, Conway, AR 72034-6281.
- What is Clint Koen's phone number?
- The practice phone number listed in the NPPES registry for Clint Koen is (501) 730-0375.
- Is Clint Koen's NPI active?
- Yes — Clint Koen's NPI (1629143789) is active in the NPPES registry as of the last update on 2014-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.