Healthcare Provider Details

I. General information

NPI: 1942147251
Provider Name (Legal Business Name): HERMAN E. HURD, DDS, V, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 MERRIMAN AVE E
WYNNE AR
72396-2945
US

IV. Provider business mailing address

203 E NARROWAY STE 200
BENTON AR
72015-3441
US

V. Phone/Fax

Practice location:
  • Phone: 870-238-9190
  • Fax:
Mailing address:
  • Phone: 870-238-9190
  • 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