MEDICARE: HIGGINBOTHAM DENTAL GROUP, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1396617064
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGGINBOTHAM DENTAL GROUP, PLLC

Provider Business Mailing Address
First Line	:	1804 OLD GREENSBORO RD BLDG B
Second Line	:
City	:	JONESBORO
State	:	AR
Zip	:	72405-0003
Country	:	US
Telephone Number	:	870-336-3732
Fax Number	:

Provider Business Practice Location Address
First Line	:	6050 AIRLINE RD STE 101
Second Line	:
City	:	ARLINGTON
State	:	TN
Zip	:	38002-4895
Country	:	US
Telephone Number	:	870-336-5620
Fax Number	:

Authorized Official
Title or Position	:	INSURANCE DIRECTOR
Name	:	MISTI ROSS
Credential	:
Telephone Number	:	870-336-3732

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	09/22/2025

Similar Medicare Providers

1639119753 — AMANDA N PRICE F.N.P.
Practice Location Address:

6050 AIRLINE RD , SUITE 109
ARLINGTON, TN
38002-4895

Practice Phone: 901-867-3367
Practice Fax: 901-867-3329

1083784987 — LISA A LOMBARD MPT DPT
Practice Location Address:

6050 AIRLINE RD , STE. 106
ARLINGTON, TN
38002-4895

Practice Phone: 901-867-8989
Practice Fax: 901-867-8757

1073771044 — MS. MELANIE HANKINS LAWS DNP, MSN, FNP
Practice Location Address:

6050 AIRLINE RD
ARLINGTON, TN
38002-4895

Practice Phone: 901-867-3367
Practice Fax:

1053694067 — MELISSA THURMER
Practice Location Address:

6050 AIRLINE RD , SUITE 106
ARLINGTON, TN
38002-4895

Practice Phone: 901-867-8989
Practice Fax:

1952684821 — DR. AMY FARRIS PERKINS O.D.
Practice Location Address:

6050 AIRLINE RD , #103
ARLINGTON, TN
38002-4895

Practice Phone: 901-867-5540
Practice Fax:

1447504352 — LEADER PHYSICAL THERAPY LIMITED PARTNERSHIP
Practice Location Address:

6050 AIRLINE RD , SUITE 106
ARLINGTON, TN
38002-4895

Practice Phone: 901-867-8989
Practice Fax:

Directions to “HIGGINBOTHAM DENTAL GROUP, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.