Bold Dental Fort Smith West
NPI 1669841946ActiveOrganization· Dentist, General Practice· Fort Smith, AR
Dentist, General Practice in Fort Smith, Arkansas, registered in NPPES in September 2015, part of Bold Dental Partners, PLLC. The authorized official on file is Wendy Peduto, Transition Manager.
Overview
| NPI | 1669841946 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Bold Dental Partners, PLLC |
| NPI issued | Sep 17, 2015 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | 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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