OrganizationActive
At Ease Dental, LLC
NPI 1629562616 · Dentist · Bentonville, AR
Provider details
- NPI number
- 1629562616
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- James Hudson, Owner(479) 871-4313
- License
- 7052 (OK)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
701 Nw Mcnelly Rd Ste 13
Bentonville, AR 72712-9160
Phone: (479) 553-9225
Approximate (ZIP-level) locationGet directions
Mailing address
513 S Dodson Rd Apt Q4
Rogers, AR 72758-7318
Registry dates
- Enumerated
- 2018-06-21
- Last updated
- 2018-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.