Healthcare Provider Details

I. General information

NPI: 1174454987
Provider Name (Legal Business Name): JASMINE KAYLA HOLDEN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JASMINE BAUGHMAN

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2915 E MOORE AVE STE 1
SEARCY AR
72143-4975
US

IV. Provider business mailing address

75 NEIGHBORS HILL RD
HEBER SPRINGS AR
72543-8349
US

V. Phone/Fax

Practice location:
  • Phone: 501-268-5115
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number4926
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: