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Deactivated NPI 1699985184 Deactivated / Inactive NPI Male Practitioner

Dr. Sam L Hedgepeth , DDS

Dentist - General Practice • Jonesboro, AR

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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. Sam Hedgepeth has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 23, 2007
NPI Deactivation Date November 17, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Sam Hedgepeth, DDS was a registered Dentist - General Practice practicing in Jonesboro, AR. Throughout an active medical career spanning 15 years, Dr. Hedgepeth provided care at the practice location at 912 OSLER DR until profile deactivation on 2022-11-17.

Practice Location & Contact Primary Location

Practice Address

912 Osler Dr
Suite C

Jonesboro, AR 724014366

Telephone 8709350080
Fax 8709352748
Associated Practice Facility / Clinic
🏢 Jonesboro Family Dental Pllc Facility NPI 1609284900

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jonesboro, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
51 Specialists

Practicing in Jonesboro, AR (909 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AR 3492

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1366417081

Doctor of Dental Surgery

Dr. Hunter Smith , DDS

Dentist - General Practice

NPI 1548674930

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 17, 2022

Record deactivated on November 17, 2022

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 912 OSLER DR, SUITE C, JONESBORO, AR 724014366 (Tel: 8709350080)

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Updated Business Mailing Address July 09, 2007

Registered at 912 OSLER DR, SUITE C, JONESBORO, AR 724014366 (Tel: 8709350080)

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Provider Name / Credentials Updated July 09, 2007

Recorded as SAM HEDGEPETH, D.D.S

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #3492 in AR)

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Initial NPI Registration & Enumeration May 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699985184
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2007
Last Update: July 09, 2007
Deactivation Date: November 17, 2022

Mailing Address

912 Osler Dr, Suite C

Jonesboro, AR 724014366

Phone: 8709350080

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.