Healthcare Provider Details
I. General information
NPI: 1740104504
Provider Name (Legal Business Name): HERMAN E. HURD, DDS, VIII, PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/05/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
446 MILES ST
LEPANTO AR
72354-2618
US
IV. Provider business mailing address
203 E NARROWAY STE 200
BENTON AR
72015-3441
US
V. Phone/Fax
- Phone: 870-475-2573
- Fax:
- Phone: 870-475-2573
- 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:
MADISON
PORTER
Title or Position: COO
Credential:
Phone: 501-683-9762