Prairie Grove Dental Center PLLC
NPI 1508454612ActiveOrganization· Dentist, General Practice· Prairie Grove, AR
Dentist, General Practice in Prairie Grove, Arkansas, registered in NPPES in January 2021. The authorized official on file is Alan Douglas Clark, DDS, Dentist-Owner.
Overview
| NPI | 1508454612 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 5, 2021 |
| Last updated in NPPES | Jan 5, 2021 |
| Certified by provider | Jan 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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