Healthcare Provider Details

I. General information

NPI: 1295178119
Provider Name (Legal Business Name): WILLIAM PEYTON AVEN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2013
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5008 S U ST STE 101A
FORT SMITH AR
72903-3613
US

IV. Provider business mailing address

5008 S U ST STE 101A
FORT SMITH AR
72903-3613
US

V. Phone/Fax

Practice location:
  • Phone: 479-452-8800
  • Fax: 479-452-6926
Mailing address:
  • Phone: 479-452-8800
  • Fax: 479-452-6926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number3976
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: