Active NPIIndividual provider

Dr. Scotty L Bolding, DDS

Dentist, Oral and Maxillofacial Surgery in Rogers, Arkansas

NPI Number1013064310
Practice location
3333 S Pinnacle Hills Pkwy Ste 140, Rogers, AR 72758-8953
Fax
479-616-1914
Last updated
May 12, 2023

Scotty L Bolding is a Dentist, Oral and Maxillofacial Surgery based in Rogers, AR. Scotty L Bolding practices in Rogers, AR and has the professional credentials of DDS. The NPI Number for Scotty L Bolding is 1013064310 and holds a License No. 22D102335600 (NJ). The current practice location address for Scotty L Bolding is 3333 S Pinnacle Hills Pkwy Ste 140, Rogers, AR 72758-8953 and can be reached out via phone at 479-755-3000 and via fax at 479-616-1914.

Provider Profile Details

NPI Number
1013064310
Provider Name
Scotty L Bolding
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3333 S Pinnacle Hills Pkwy Ste 140, Rogers, AR 72758-8953
Phone Number
479-755-3000
Fax Number
479-616-1914
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
No
Provider Enumeration Date
January 5, 2007
Last Update Date
May 12, 2023
Certification Date
January 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
3333 S Pinnacle Hills Pkwy Ste 140
Rogers, AR 72758-8953
City
Rogers
Zip
72758-8953
Phone Number
479-755-3000
Fax Number
479-616-1914
Rogers, AR 72758Get directions →

Provider Business Mailing Address Details

Address
Po Box 4185
Fayetteville, AR 72702-4185
City
Fayetteville
State
AR
Zip
72702-4185
Phone Number
479-582-3000
Fax Number
479-927-3085

License Information

License Number (1)
22D102335600
License State (1)
NJ
Taxonomy (1)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
License Number (2)
16037
License State (2)
TX
Taxonomy (2)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
License Number (3)
DN22477
License State (3)
FL
Taxonomy (3)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
License Number (4)
22D102335600
License State (4)
NJ
Taxonomy (4)
Oral & Maxillofacial Surgery · 204E00000X
License Number (5)
2001031902
License State (5)
MO
Taxonomy (5)
Oral & Maxillofacial Surgery · 204E00000X
License Number (6)
3025
License State (6)
AR
Taxonomy (6)
Oral & Maxillofacial Surgery · 204E00000X
License Number (7)
DN22477
License State (7)
FL
Taxonomy (7)
Oral & Maxillofacial Surgery · 204E00000X
License Number (8)
16037
License State (8)
TX
Taxonomy (8)
Oral & Maxillofacial Surgery · 204E00000X
License Number (9)
3025
License State (9)
AR
Taxonomy (9)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Scotty L Bolding, DDS?

The NPI number of Dr. Scotty L Bolding, DDS is 1013064310. It was assigned on January 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Scotty L Bolding, DDS?

Dr. Scotty L Bolding, DDS is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NJ under license number 22D102335600.

Where does Dr. Scotty L Bolding, DDS practice?

The practice location is 3333 S Pinnacle Hills Pkwy Ste 140, Rogers, AR 72758-8953. The office can be reached at 479-755-3000 (phone) or 479-616-1914 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013064310 directly on the NPPES registry website.

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