Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1811095656 Deactivated / Inactive NPI Male Practitioner

Dr. Phillip W Pennington , DDS

Dentist • Dermott, AR

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Phillip Pennington has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2006
NPI Deactivation Date October 01, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Phillip Pennington, DDS was a registered Dentist practicing in Dermott, AR. Throughout an active medical career spanning 14 years, Dr. Pennington provided care at the practice location at 300 S SCHOOL until profile deactivation on 2020-10-01.

Practice Location & Contact Primary Location

Practice Address

300 S School

Dermott, AR 71638

Telephone 8705385296
Fax 8705383701
Associated Practice Facility / Clinic
🏢 Mainline Health Systems Inc Facility NPI 1386758043

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Dermott, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Dermott, AR (549 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AR 1850

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Brenda Fowler , ANP

Nurse Practitioner - Community Health

NPI 1174637896

Adult Nurse Practitioner

Kimberly Weeks , CNP

Nurse Practitioner - Family

NPI 1205315637

Certified Nurse Practitioner

Courtney Johnson , CNP

Nurse Practitioner - Family

NPI 1386026359

Certified Nurse Practitioner

Dana Phillips , FNP-BC

Nurse Practitioner - Family

NPI 1659710879

Family Nurse Practitioner (Board Certified)

Shenika Jackson-King , APRN

Nurse Practitioner - Family

NPI 1669886552

Advanced Practice Registered Nurse

Dr. Earnest Lewis , DDS

Dentist - General Practice

NPI 1710036314

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated October 01, 2020

Record deactivated on October 01, 2020

NPI Profile Active June 10, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2015

Registered at 300 S SCHOOL, DERMOTT, AR 71638 (Tel: 8705385296)

📍
Updated Business Mailing Address June 10, 2015

Registered at PO BOX 509, DERMOTT, AR 71638 (Tel: 8705385414)

👤
Provider Name / Credentials Updated June 10, 2015

Recorded as PHILLIP PENNINGTON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2015

Dentist (License #1850 in AR)

🟢
Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Phillip Pennington. Be the first to share your experience!

Sign in to leave a review for Dr. Phillip Pennington

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1811095656
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: June 10, 2015
Deactivation Date: October 01, 2020

Mailing Address

Po Box 509

Dermott, AR 71638

Phone: 8705385414

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.