MEDICARE: DR. LUKE AARON JAMISON DDS

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	4601	AR
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1881333524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUKE AARON JAMISON DDS

Provider Business Mailing Address
First Line	:	6410 S 35TH ST
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-4508
Country	:	US
Telephone Number	:	501-326-4482
Fax Number	:

Provider Business Practice Location Address
First Line	:	2102 W PLEASANT GROVE RD
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-8242
Country	:	US
Telephone Number	:	479-636-3400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2022
Last Update Date	:	02/23/2026

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