Bold Dental Partners, PLLC Ft. Smith
NPI 1063820215ActiveOrganization· Dentist, General Practice· Fort Smith, AR
Dentist, General Practice in Fort Smith, Arkansas, registered in NPPES in July 2014, part of Bold Dental Partners, PLLC. The authorized official on file is Jaclyn White, Credentialing Manager.
Overview
| NPI | 1063820215 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Bold Dental Partners, PLLC |
| NPI issued | Jul 31, 2014 |
| Last updated in NPPES | Jul 31, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 3242 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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