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Russellville Family Dentistry PA

NPI 1508287251ActiveOrganization· Dentist, General Practice· Russellville, AR

Dentist, General Practice in Russellville, Arkansas, registered in NPPES in December 2013. The authorized official on file is Michael Gregory Kitchens, D.D.S., President.

Overview

NPI1508287251
StatusActive
Entity typeOrganization
NPI issuedDec 25, 2013
Last updated in NPPESDec 25, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X3895AR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, General Practice providers in Russellville

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