Healthcare Provider Details
I. General information
NPI: 1679491724
Provider Name (Legal Business Name): EMERGENCY DENTAL GROUP OF FORT SMITH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
708 LEXINGTON AVE
FORT SMITH AR
72901-4738
US
IV. Provider business mailing address
708 LEXINGTON AVE
FORT SMITH AR
72901-4738
US
V. Phone/Fax
- Phone: 479-531-6822
- Fax:
- Phone: 479-531-6822
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
STEVEN
NIEL
STRINGFELLOW
Title or Position: OWNER
Credential: DDS
Phone: 479-531-6822