MEDICARE: BREATHE WELL DENTAL STUDIO

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1659223048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREATHE WELL DENTAL STUDIO

Provider Business Mailing Address
First Line	:	5518 W WALSH LN STE 104
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-8947
Country	:	US
Telephone Number	:	479-631-6377
Fax Number	:

Provider Business Practice Location Address
First Line	:	5518 W WALSH LN # 104
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-8947
Country	:	US
Telephone Number	:	479-631-6377
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	JEFFREY RHODES
Credential	:	DDS
Telephone Number	:	479-236-5333

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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