Healthcare Provider Details

I. General information

NPI: 1992664908
Provider Name (Legal Business Name): HERMAN E. HURD, DDS, IV, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 W COURT ST STE A
PARAGOULD AR
72450-4247
US

IV. Provider business mailing address

203 E NARROWAY STE 200
BENTON AR
72015-3441
US

V. Phone/Fax

Practice location:
  • Phone: 870-236-5888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MADISON PORTER
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 501-683-9762