MEDICARE: SOUTHERN DENTAL OF HOT SPRINGS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	3930	AR

General Provider Information

NPI Number	:	1447768536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHERN DENTAL OF HOT SPRINGS PLLC

Provider Business Mailing Address
First Line	:	130 CORDOBA CENTER DR
Second Line	:
City	:	HOT SPRINGS VILLAGE
State	:	AR
Zip	:	71909-4020
Country	:	US
Telephone Number	:	501-922-3443
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 CORDOBA CENTER DR
Second Line	:
City	:	HOT SPRINGS VILLAGE
State	:	AR
Zip	:	71909-4020
Country	:	US
Telephone Number	:	501-922-3443
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MEMBER
Name	:	DR. WILLIAM REYNOLDS LITTLE
Credential	:	DDS
Telephone Number	:	870-243-4406

Provider Enumeration Date	:	01/11/2018
Last Update Date	:	05/05/2026

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